Active NPI
Krishawna Mund Thompson, NP-C
- Family Nurse Practitioner
- Shepherd, TX
National Provider Identifier
1891133294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 734317
- Practice address
- 16 N Liberty
Shepherd, TX 77371-2460 - Phone
- (936) 628-1694
- Fax
- (936) 628-3109
- NPI assigned
- Jun 6, 2013
- Last updated
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 734317 | TX | Primary |
Addresses
Primary practice location
16 N Liberty
Shepherd, TX 77371-2460
Mailing address
16 N Liberty
Shepherd, TX 77371-2460
Phone (936) 628-1694
Other names 1
- Krishawna Marie Mund
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- kthompson21251@carelonhealth.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Grand Prairie, TX
- NPI 1508267535
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
NV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1891133294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 N LIBERTY",
"city": "SHEPHERD",
"state": "TX",
"postal_code": "773712460",
"telephone_number": "936-628-1694",
"fax_number": "936-628-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N LIBERTY",
"city": "SHEPHERD",
"state": "TX",
"postal_code": "773712460",
"telephone_number": "936-628-1694",
"fax_number": "936-628-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KRISHAWNA",
"middle_name": "MUND",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "734317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISHAWNA",
"last_name": "MUND",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shepherd, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.