Individual provider Active NPI

Kristi Reavis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1790400844
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1179701 Issued in TX
Practice address
4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205
Phone
(281) 778-9530
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1179701 TX Primary
Registered Nurse 163W00000X 816615 TX

Addresses

Primary practice location

4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205

Mailing address

4502 Riverstone Blvd Ste 601
Missouri City, TX 77459-5205
Phone (281) 778-9530

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
I20241209003795 TX Practitioner - Nurse Practitioner 5496281818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mind Matters Psychiatry PLLCGroup PAC ID 0547610438, 7 clinicians
CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

4502 Riverstone Blvd
Suite 601
Missouri City, TX 77459-5205
Phone (281) 778-9530

600 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-5571

610 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-2551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1179701TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Matters Psychiatry PLLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

4502 Riverstone Blvd
Ste 601
Missouri City, TX 77459
Phone (281) 778-9530

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1790400844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 601",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595205",
            "telephone_number": "281-778-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 601",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595205",
            "telephone_number": "281-778-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVIS",
        "first_name": "KRISTI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179701",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "816615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.