Individual provider Active NPI

Kristina Mae Holmquist

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1982224127
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP145534 Issued in TX
Practice address
6551 Harris Pkwy Ste 250
Fort Worth, TX 76132-6115
Phone
(817) 263-6116
Fax
(817) 263-6117
NPI assigned
Apr 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP145534 TX
Acute Care Nurse Practitioner 363LA2100X AP145534 TX Primary

Addresses

Primary practice location

6551 Harris Pkwy Ste 250
Fort Worth, TX 76132-6115

Mailing address

6551 Harris Pkwy Ste 250
Fort Worth, TX 76132-6115
Phone (817) 263-6116

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.pmd.com Direct

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
I20200529001609 TX Practitioner - Nurse Practitioner 3678994688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Heart and Vascular Care PLLCGroup PAC ID 9234553454, 5 clinicians
David Maldonado III MD PAGroup PAC ID 3173845039, 4 clinicians

Practice addresses (Care Compare)

1705 S FM
51 Suite 107
Decatur, TX 76234-3646
Phone (940) 230-2580

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 263-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145534TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Maldonado III MD PA CurrentSince May 19, 2020 Accepting new patients
Epic Heart and Vascular Care PLLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

4843 Colleyville Blvd
Ste 251328
Colleyville, TX 76034

1705 S FM 51
Ste 107
Decatur, TX 76234
Phone (940) 230-2580

6551 Harris Pkwy
Ste 250
Fort Worth, TX 76132
Phone (713) 824-1883

6701 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 332-7650

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

3600 Angle Ave
Ft Worth, TX 76106
Phone (817) 624-6122

425 Alabama Ave
Ft Worth, TX 76104
Phone (817) 820-3400

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1982224127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326115",
            "telephone_number": "817-263-6116",
            "fax_number": "817-263-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY STE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326115",
            "telephone_number": "817-263-6116",
            "fax_number": "817-263-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "KRISTINA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP145534",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP145534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.pmd.com",
            "affiliation": "N",
            "endpointDescription": "Charge capturing and HIPAA protected messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6551 Harris Pkwy Ste 250",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761326115",
            "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.