Individual provider Active NPI

Kristi Rae Norcross, CNM

  • Women's Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1811053788
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP143553 Issued in TX
Practice address
430 W Sunset Rd Ste 301
San Antonio, TX 78209
Phone
(210) 538-8660
Fax
(210) 538-8661
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 32039 TX
Advanced Practice Midwife 367A00000X SD-CM000035 SD
Women's Health Nurse Practitioner 363LW0102X AP143553 TX Primary

Addresses

Primary practice location

430 W Sunset Rd Ste 301
San Antonio, TX 78209

Mailing address

430 W Sunset Rd Ste 301
San Antonio, TX 78209-1772
Phone (210) 538-8660

Other practice location 1

3303 Rogers Rd Ste 100
San Antonio, TX 78251-3688
Phone (210) 547-4700

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202002757 TX Practitioner - Certified Nurse Midwife (CNM) 4082057385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP143553TXMDWomen's Health Nurse Practitioner
SD-CM000035SDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Cornforth MD - OBGYN PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

1007 NE Loop 410
Ste 110
San Antonio, TX 78209
Phone (210) 538-8660

430 W Sunset Rd
Ste 301
San Antonio, TX 78209
Phone (210) 538-8660

Organizations & group practices 1

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1811053788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W SUNSET RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091772",
            "telephone_number": "210-538-8660",
            "fax_number": "210-538-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W SUNSET RD STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-538-8660",
            "fax_number": "210-538-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 Rogers Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513688",
            "country_code": "US",
            "telephone_number": "210-547-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORCROSS",
        "first_name": "KRISTI",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "32039",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SD",
            "license": "SD-CM000035",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP143553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.