CRYSTAL NICHOLAS (NPI# 1174980932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174980932 |
| Entity Type | Individual |
| Full Name | CRYSTAL NICHOLAS |
| Other Name | CRYSTAL ZITTERKOPF |
| Credential | PA-C |
| Practice Address |
4000 E Renner Rd Apt 1028 Richardson TX 75082-2732 |
| Practice Telephone | 5202482733 |
| Mailing Telephone | 5202482733 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10407 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935876 | Crystal S Nicholas | Counselor | 845 Fulton Ave Apt 1051, Sacramento, CA 95825-6434 | 2020-02-29 |
| Street Address |
4000 E RENNER RD APT 1028 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| 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 |
|---|---|---|---|---|
| 1649812272 | Roma Vaswani | Physician Assistant | 619 Olympic, Richardson, TX 75081-5159 | 2019-10-15 |
| 1386194132 | Niraja Dalal | Physician Assistant | 2821 E President George Bush Hwy Ste 205, Richardson, TX 75082-4266 | 2016-10-05 |
| 1942606785 | Kassiopeia Mcelroy | Physician Assistant | 851 Greenside Dr Apt 21201, Richardson, TX 75080-1164 | 2014-11-05 |
| 1710123336 | Tara Marie Rainey | Physician Assistant | 1200 E. Collins Blvd, Suite #300, Richardson, TX 75081-2450 | 2009-01-02 |
| 1699970368 | Kristine Jane Kucera | Physician Assistant | 3600 Shire Blvd Ste 210, Richardson, TX 75082-2238 | 2007-06-20 |
| 1306050182 | Gigi Kammer | Physician Assistant | 3201 East George Bush Freeway, Suite 101, Richardson, TX 75082 | 2007-05-10 |
| 1578607172 | Adam Joseph Klaff | Physician Assistant | 2821 E President George Bush Hwy Ste 407, Richardson, TX 75082-4279 | 2007-02-16 |
| 1881787349 | Maryanne E Harker | Physician Assistant | 1260 W Spring Valley Rd, Richardson, TX 75080-6720 | 2006-10-02 |
| 1164475570 | Hailey Paige Hosak | Physician Assistant | 101 S Coit Rd Ste 36-320, Richardson, TX 75080-5743 | 2006-05-18 |
| 1982172946 | Roopa Mukund | Physician Assistant | 1810 N Plano Rd, Richardson, TX 75081-1916 | 2018-11-07 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
Please comment or provide details below to improve the information on CRYSTAL NICHOLAS.
| 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.