Individual provider Active NPI

Kristen Kolb, APRN, FNP-C

  • Family Nurse Practitioner
  • Mathis, TX
National Provider Identifier
1770183808
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018204 Issued in TX
Practice address
213 S Duval St
Mathis, TX 78368-2613
Phone
(361) 678-4314
NPI assigned
Oct 28, 2020
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1018204 TX Primary

Addresses

Primary practice location

213 S Duval St
Mathis, TX 78368-2613

Mailing address

1118 David St
Sinton, TX 78387-2916
Phone (361) 876-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002557 TX Practitioner - Nurse Practitioner 9638512353 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1018204TXMDFamily Nurse Practitioner
1053888TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas Current Accepting new patients
Community Action Corporation of South Texas CurrentSince Dec 31, 2023 Accepting new patients
Community Action Corporation of South Texas CurrentSince Dec 31, 2023 Accepting new patients
South Padre Island Pediatric Center Past Accepting new patients
South Padre Island Pediatric Clinic PA Past Accepting new patients
Careville Pediatrics, PA PastSince Nov 1, 2020 Accepting new patients

Locations

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

213 S Duval St
Mathis, TX 78368
Phone (361) 547-4121

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1770183808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 DAVID ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872916",
            "telephone_number": "361-876-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S DUVAL ST",
            "city": "MATHIS",
            "state": "TX",
            "postal_code": "783682613",
            "telephone_number": "361-678-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "KRISTEN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mathis, TX

Sources for this page

Verify at the official NPI Registry.