Healthcare Provider Details

I. General information

NPI: 1710879127
Provider Name (Legal Business Name): KRISTA IHLE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/26/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13830 SAWYER RANCH RD # 100102
DRIPPING SPRINGS TX
78620-5513
US

IV. Provider business mailing address

13830 SAWYER RANCH RD # 100102
DRIPPING SPRINGS TX
78620-5513
US

V. Phone/Fax

Practice location:
  • Phone: 512-301-6400
  • Fax:
Mailing address:
  • Phone: 512-301-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1207079
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: