Active NPI
Kristyn Fleet, FNP-C
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1992335871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1015715
- Practice address
- 3800 N Shepherd Dr
Houston, TX 77018-6400 - Phone
- (281) 766-8916
- NPI assigned
- Jan 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 851101 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1015715 | TX | Primary |
Addresses
Primary practice location
3800 N Shepherd Dr
Houston, TX 77018-6400
Mailing address
1604 Saint Charles St
Houston, TX 77003-5212
Phone (512) 963-5277
Other practice location 1
6621 Fannin St
Houston, TX 77030-2399
Phone (832) 824-1000
Other practice location 2
3820 N Shepherd Dr # A
Houston, TX 77018-6408
Phone (281) 766-8911
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260427002194 | TX | Practitioner - Nurse Practitioner | 8123595261 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1102 Bates Ave
Houston, TX 77030-2698
PO Box
Dallas, TX 75284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 851101 | TX | MD | Pediatric Registered Nurse |
| 1015715 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Past | Accepting new patients |
Organizations & group practices 1
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": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1992335871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 SAINT CHARLES ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770035212",
"telephone_number": "512-963-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 N SHEPHERD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770186400",
"telephone_number": "281-766-8916"
}
],
"practiceLocations": [
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302399",
"country_code": "US",
"telephone_number": "832-824-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3820 N Shepherd Dr # A",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770186408",
"country_code": "US",
"telephone_number": "281-766-8911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEET",
"first_name": "KRISTYN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "TX",
"license": "851101",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1015715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.