Active NPI
Krystin Coldwell, PSYD
- Clinical Psychologist
- El Paso, TX
National Provider Identifier
1942245287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60143251
- Practice address
- 5005 N Piedras St
El Paso, TX 79920-5001 - Phone
- (915) 569-1382
- NPI assigned
- Jun 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60143251 | WA | Primary |
Addresses
Primary practice location
5005 N Piedras St
El Paso, TX 79920-5001
Mailing address
5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 569-1382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184607 | Other | KY | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130521000625 | TN | Order and Referring Only - Clinical Psychologist | 8325286982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1942245287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-569-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLDWELL",
"first_name": "KRYSTIN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60143251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "184607",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.