CRYSTAL LITES SPEEDE


Address: 1000 Pine St, Er, Texarkana, TX 75501-5100
Phone: 9037988880

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP07951 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 PINE ST
ER
City TEXARKANA
State TX
Zip Code 75501-5100

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
Find all providers in zip 75501

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City TEXARKANA
Zip Code 75501

Improve Information

Please comment or provide details below to improve the information on CRYSTAL LITES SPEEDE.

Dataset Information

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.

Trending Searches