Provider Demographics
NPI:1730434374
Name:SOLIMANI, KRISTIN POWERS (FNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:POWERS
Last Name:SOLIMANI
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 HILLCREST RD STE 251
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7134
Mailing Address - Country:US
Mailing Address - Phone:903-388-8182
Mailing Address - Fax:
Practice Address - Street 1:12700 HILLCREST RD STE 251
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7134
Practice Address - Country:US
Practice Address - Phone:972-740-4808
Practice Address - Fax:949-862-3770
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX768837363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303319303Medicaid
TX303319303Medicaid