Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Godett, NURSEPRACTIONER

Individual provider Internal Medicine Physician · NPI 1861993701

Kristen Godett, NURSEPRACTIONER is a Nurse Practitioner in San Antonio, Texas. Qualified in 2021, 5 years ago. Practices with Blue Agave Functional Medicine Clinic PLLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

607 Camden St
San Antonio, TX 78215-1610
Phone: (211) 023-3712
Fax: (855) 838-0423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1052585 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 1052585 (TX)

Record details

NPI number1861993701
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTIONER
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Blue Agave Functional Medicine Clinic Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Antonio