Individual provider Active NPI

Christina Lee Exum

  • Psychiatric/Mental Health Nurse Practitioner
  • Kerrville, TX
National Provider Identifier
1851934970
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP143568 Issued in TX
Practice address
1309 Carol Ann Dr
Kerrville, TX 78028-3414
Phone
(830) 992-1557
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP143568 TX Primary

Addresses

Primary practice location

1309 Carol Ann Dr
Kerrville, TX 78028-3414

Mailing address

1309 Carol Ann Dr
Kerrville, TX 78028-3414
Phone (830) 992-1557

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
I20200103001117 TX Practitioner - Nurse Practitioner 9931533734 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community MHMR Center CurrentSince Dec 5, 2019 Accepting new patients
Soulwork Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Kerrville Medical Services, PA Past Accepting new patients

Locations

819 Water St
Ste 300
Kerrville, TX 78028
Phone (830) 258-5430

317 Sidney Baker St S
Ste 400
Kerrville, TX 78028

955 Water St
Kerrville, TX 78028
Phone (830) 257-6553

874 Harper Rd
Ste 103
Kerrville, TX 78028
Phone (210) 364-8640

Organizations & group practices 3

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1851934970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 CAROL ANN DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283414",
            "telephone_number": "830-992-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 CAROL ANN DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283414",
            "telephone_number": "830-992-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXUM",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.