| Kristina Elaine Longo, FNP-C | |
|
1631 Lancaster Dr Ste 150, Grapevine, TX 76051-3586 | |
| (817) 251-9080 | |
| (817) 251-9082 |
| Full Name | Kristina Elaine Longo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1631 Lancaster Dr Ste 150, Grapevine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396089967 | NPI | - | NPPES |
| 311114802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 688607 (Texas) | Primary |
| Entity Name | Healthconnection Integrative Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508550328 PECOS PAC ID: 7618325648 Enrollment ID: O20231130002438 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Elaine Longo, FNP-C Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Kristina Elaine Longo, FNP-C 1631 Lancaster Dr Ste 150, Grapevine, TX 76051-3586 Ph: (817) 251-9080 |
Mrs. Evelyn Carol Ting, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1054 Texan Trail, Suite 100, Grapevine, TX 76051 Phone: 817-424-2113 Fax: 817-439-6839 | |
Tiffany Marie Woods, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 N Park Blvd Ste 114, Grapevine, TX 76051 Phone: 817-488-7771 | |
Kimberly Loraine Kammerer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Lancaster Dr Ste 10b, Grapevine, TX 76051 Phone: 817-576-6665 | |
Deborah Vaughan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1602 Lancaster Dr, Suite 102, Grapevine, TX 76051 Phone: 817-329-8364 Fax: 817-329-1285 | |
Mrs. Phillipa Ifeoma Modebelu, RN/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 Ira E Woods Ave, Grapevine, TX 76051 Phone: 866-389-2727 | |
Ronald G Kimmel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Ira E Woods Ave, Ste. 600, Grapevine, TX 76051 Phone: 817-488-9991 | |
Megan Catanzaro, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1643 Lancaster Dr Ste 305, Grapevine, TX 76051 Phone: 888-339-0906 |