Individual provider Active NPI

Kristi Saxon, NP

  • Advanced Practice Midwife
  • Longview, TX
National Provider Identifier
1922068972
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP113957 Issued in TX
Practice address
2901 4TH St
Longview, TX 75605-5128
Phone
(903) 758-1818
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP113957 TX
Advanced Practice Midwife 367A00000X AP113957 TX Primary

Addresses

Primary practice location

2901 4TH St
Longview, TX 75605-5128

Mailing address

PO Box 610393
Dallas, TX 75261-0393
Phone (903) 291-6287

Other practice location 1

802 Medical Dr
Suite 100
Longview, TX 75605-5100
Phone (903) 315-2744

Other practice location 2

701 E Marshall Ave Ste 309
Longview, TX 75601-5597
Phone (903) 315-2744

Other identifiers 1

IdentifierTypeStateIssuer
175662902MedicaidTX

Other names 1

  • Kristi Mize Other name

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
I20131022001413 TX Practitioner - Certified Nurse Midwife (CNM) 7911943691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

802 Medical Cir
Suite 100
Longview, TX 75605-5207
Phone (903) 757-6042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113957TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc CurrentSince Feb 22, 2016 Accepting new patients
Regional Clinics of Longview CurrentSince Jul 1, 2013 Accepting new patients
Longview Wellness Center Inc CurrentSince Feb 22, 2016 Accepting new patients
Longview Wellness Center, Inc Current Accepting new patients
Associated Clinicians of East Texas CurrentSince Sep 1, 2017 Accepting new patients
Associated Clinicians of East Texas Past Accepting new patients

Locations

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

802 Medical Cir
Ste 100
Longview, TX 75605
Phone (903) 757-6042

1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

701 E Marshall Ave
Ste 309
Longview, TX 75601
Phone (903) 236-2744

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

Interoperability endpoints

  • Direct secure messaging: kristi.saxon.1@23550.direct.athenahealth.com

Organizations & group practices 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922068972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610393",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752610393",
            "telephone_number": "903-291-6287",
            "fax_number": "903-237-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055128",
            "telephone_number": "903-758-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Medical Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055100",
            "country_code": "US",
            "telephone_number": "903-315-2744",
            "fax_number": "903-234-1339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Marshall Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015597",
            "country_code": "US",
            "telephone_number": "903-315-2744",
            "fax_number": "903-234-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXON",
        "first_name": "KRISTI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "AP113957",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP113957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175662902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "MIZE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.