Individual provider Active NPI

Kristen New

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1952054223
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1068821 Issued in TX
Practice address
1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145
Phone
(817) 250-7230
NPI assigned
Jan 27, 2022
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1068821 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave Ste 890
Fort Worth, TX 76104-2145

Mailing address

1519 Broome Rd
Bartonville, TX 76226-8286
Phone (972) 979-0219

Other practice location 1

1350 S Main St Ste 3200
Fort Worth, TX 76104-7669
Phone (972) 979-0219

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksmall25522@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20220304002140 TX Practitioner - Nurse Practitioner 2769876887 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068821TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince May 1, 2023 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Feb 23, 2022 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1350 S Main St
Ste 3200
Fort Worth, TX 76104
Phone (817) 338-4550

1325 Pennsylvania Ave
Ste 890
Ft Worth, TX 76104
Phone (817) 250-4280

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

Interoperability endpoints

  • Direct secure messaging: ksmall25522@direct.texashealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1952054223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 BROOME RD",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762268286",
            "telephone_number": "972-979-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE STE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042145",
            "telephone_number": "817-250-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Main St Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761047669",
            "country_code": "US",
            "telephone_number": "972-979-0219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEW",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1068821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksmall25522@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1325 Pennsylvania Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.