Provider Demographics
NPI:1255940235
Name:HOOPER, KRISTIN BELT (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:BELT
Last Name:HOOPER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 LIBBY LN
Mailing Address - Street 2:
Mailing Address - City:DIANA
Mailing Address - State:TX
Mailing Address - Zip Code:75640-3262
Mailing Address - Country:US
Mailing Address - Phone:903-431-6158
Mailing Address - Fax:
Practice Address - Street 1:3111 MCCANN RD
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7842
Practice Address - Country:US
Practice Address - Phone:903-753-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily