KRYSTAL LEANN LOPEZ (NPI# 1972019909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972019909 |
| Entity Type | Individual |
| Full Name | KRYSTAL LEANN LOPEZ |
| Credential | PA-C |
| Practice Address |
4607 Timberglen Rd Apt 1934 Dallas TX 75287-5256 |
| Practice Telephone | 2149345735 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11688 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1146937 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211155 | Krystal Marie Lopez | Dietitian, Registered | 4000 N Peppr Ave., Colton, CA 92323 | 2020-10-02 |
| 1306317607 | Krystal Lopez | Behavior Technician | 106 Discovery, Irvine, CA 92618-3131 | 2018-12-11 |
| 1306375092 | Krystal M Lopez | Physician Assistant | 5303 Elliott Drive, Suite 210, Ypsilanti, MI 48197 | 2017-06-07 |
| 1679013486 | Krystal Lopez | Nurse Practitioner | 3661 S Babcock St Fl 2, Melbourne, FL 32901-8205 | 2017-02-27 |
| 1215304308 | Krystal Danielle Lopez | Student in an Organized Health Care Education/Training Program | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2015-08-25 |
| Street Address |
4607 TIMBERGLEN RD APT 1934 |
| City | DALLAS |
| State | TX |
| Zip Code | 75287-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
| 1831629625 | Tumikee Perry | Counselor | 2903 Renaissance Circle, Dallas, TX 75287 | 2017-06-14 |
| 1326594177 | Sweta Sheth Dds | Dentist | 18217 Midway Road #122, Dallas, TX 75287 | 2016-08-31 |
| 1003288259 | Hamid Reza Pirnajmedin | Specialist/Technologist, Other | 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 | 2015-10-28 |
| 1013307313 | Kaelee Rae Kail | Occupational Therapist | 17480 Dallas Pkwy # 400, Dallas, TX 75287 | 2015-01-26 |
| 1568875318 | Nicole Carvacho | Physical Therapist | 17480 North Dallas Tollway, Addison, TX 75287 | 2014-06-10 |
| 1326451873 | Holly Davis | Speech-Language Pathologist | 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 | 2014-06-03 |
| 1033520077 | Tammy Duran | Non-emergency Medical Transport (VAN) | 3653 Briargrove Lane, 1513, Dallas, TX 75287 | 2014-05-13 |
| 1518393206 | Cole Wellness Center | Home Health | 4820 Sea Pine, Dallas, TX 75287 | 2013-09-25 |
| Find all providers in zip 75287 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
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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.