Healthcare Provider Details
I. General information
NPI: 1609342435
Provider Name (Legal Business Name): KRISTINA KAY SCHMIDT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/19/2018
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 MATLOCK CENTRE CIR
ARLINGTON TX
76015-2535
US
IV. Provider business mailing address
601 MATLOCK CENTRE CIR
ARLINGTON TX
76015-2535
US
V. Phone/Fax
- Phone: 817-693-1000
- Fax: 866-950-0295
- Phone: 817-693-1000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 839704 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | AP139051 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: