CRYSTAL LITES SPEEDE (NPI# 1962819664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962819664 |
Entity Type | Individual |
Full Name | CRYSTAL LITES SPEEDE |
Other Name | CRYSTAL STEWART |
Credential | NP |
Practice Address |
1000 Pine St Er Texarkana TX 75501-5100 |
Mailing Address |
1000 Pine St Texarkana TX 75501-5100 |
Practice Telephone | 9037988880 |
Mailing Telephone | 9037988880 |
Enumeration Date | 2014-07-15 |
Last Update Date | 2019-09-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP07951 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1000 PINE ST ER |
City | TEXARKANA |
State | TX |
Zip Code | 75501-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649275496 | David Lee Carlisle | Specialist | 1000 Pine St, Texarkana, TX 75501-5100 | 2005-06-17 |
1821616343 | Sher Lynn Fomby | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-07-10 |
1609401959 | Zachary Heath Jones | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2020-03-06 |
1528535143 | Johanna Morgan Hensley | Registered Nurse | 1000 Pine St, Texarkana, TX 75501-5100 | 2018-11-01 |
1205388212 | Cristi Anthony Hicks | Nurse Practitioner | 1000 Pine St, Texarkana, TX 75501-5100 | 2016-10-26 |
1861872467 | Karen Denise Marks | Social Worker | 1000 Pine St, Texarkana, TX 75501-5100 | 2015-06-09 |
1942601547 | Pam Squared At Texarkana, LLC | Long Term Care Hospital | 1000 Pine St, 6th Floor, Texarkana, TX 75501-5100 | 2014-09-15 |
1295154284 | Rodney Lagrone Jr. | Anesthesiology | 1000 Pine St, Texarkana, TX 75501 | 2014-04-07 |
1700211737 | Twice Nice Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2013-09-10 |
1891057618 | Cep America LLC | Family Medicine | 1000 Pine St, Texarkana, TX 75501-5100 | 2012-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
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Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891335584 | Barbara Wright | Nurse Practitioner | 4101 Columbia Ave, Texarkana, TX 75503-2851 | 2020-01-09 |
1407333784 | Brittny Nicole Mills | Nurse Practitioner | 3401 Austin St, Texarkana, TX 75501-6711 | 2018-07-19 |
1174044531 | Kristie Lynn Thomas | Nurse Practitioner | 2604 Saint Michael Dr Ste 239, Texarkana, TX 75503-2378 | 2017-07-06 |
1215475546 | Whitney Lindsey | Nurse Practitioner | 3002 Moores Ln, Texarkana, TX 75503-2204 | 2017-02-07 |
1013163013 | Marla Kay English-pickett | Nurse Practitioner | 16060 Broadleaf, Texarkana, TX 75503-9607 | 2008-08-11 |
1417588393 | James Owens | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2020-01-30 |
1720618390 | Amanda Smith | Nurse Practitioner | 300 E 6th St, Texarkana, AR 71854-5207 | 2020-01-22 |
1871052050 | Ian Watson | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2019-03-18 |
1629575964 | Tiffany A Hughes | Nurse Practitioner | 4605 Texas Blvd, Texarkana, TX 75503-3028 | 2018-04-12 |
1285148585 | Deanna Robin Padgett | Nurse Practitioner | 2435 College Dr, Texarkana, TX 75501-2788 | 2017-11-22 |
Find all providers in TEXARKANA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.