Kristalyn Holland Pepper, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

220267 Issued in LA

Practice address

7551 Youree Dr Ste 11
Shreveport, LA 71105-5533

Phone

(318) 642-9282

Fax

(833) 749-0340

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Specialty Infusion LLC

  • Infusion Therapy Clinic/Center
  • Allen, TX
  • NPI 1750933230

  LA

  Medicare reassignment Care Compare group NPD
• Ark-la-Tex Cardiology, Apmc

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1497745921
  NPD (past)
• Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1861067944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 YOUREE DR STE 11",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055533",
            "telephone_number": "318-642-9282",
            "fax_number": "833-749-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 YOUREE DR STE 11",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055533",
            "telephone_number": "318-642-9282",
            "fax_number": "833-749-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "KRISTALYN",
        "middle_name": "HOLLAND",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "220267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• People First Outreach Inc.
• Jasmine Peoples
• Nicholas Peoples
• Reata Peoples
• Stephanie Roylette Peoples
• Alex Percle
• Yanet Maria Perez Garcia, M.D.
• Perfect Choice Home Care Services LLC
• Perfect Phyzique Wellness & Body Contouring, LLC
• Jennifer A Perfetto, PT

• Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.