KRYSTAL TYREE (NPI# 1356759799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356759799 |
| Entity Type | Individual |
| Full Name | KRYSTAL TYREE |
| Practice Address |
4606 Mustang Ave Rosenberg TX 77471-2121 |
| Mailing Address |
601 Park Place Blvd Apt 236 Rosenberg TX 77469-5065 |
| Practice Telephone | 8322233000 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT4885 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4606 MUSTANG AVE |
| City | ROSENBERG |
| State | TX |
| Zip Code | 77471-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144260845 | Dennis Carl Fyke | Specialist/Technologist | 4606 Mustang Ave, Rosenberg, TX 77471-2121 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702358 | Thelma Parker Baines | Clinic/Center | 1910 Buttonwood Trail, Rosenberg, TX 77471 | 2020-05-19 |
| 1720638703 | Tulip Pharmacy LLC | Pharmacy | 1020 Herndon Dr, Rosenberg, TX 77471 | 2019-09-12 |
| 1639723513 | Victoria Miller | Counselor | 2002 Queensroch, Rosenberg, TX 77471 | 2019-07-29 |
| 1902370786 | Rosenberg Family Smiles Pllc | Dentist | 4114 Ave H, Rosenberg, TX 77471 | 2019-01-15 |
| 1841760154 | Future Winners of Texas LLC | Community/Behavioral Health | 1136 Old Radio Ln #117, Rosenberg, TX 77471 | 2018-11-29 |
| 1073081048 | Ares Ranada | Registered Nurse | 3101 Place Vista Drive, Apt # 2309, Rosenberg, TX 77471 | 2018-11-08 |
| 1902397060 | Gibbs and Associates Counseling Services | Counselor | 5609 Walid Ln, Rosenberg, TX 77471 | 2018-05-24 |
| 1275923815 | Evelyn Boykins | Driver | 1035 Vera Cruz Dr., Rosenberg, TX 77471 | 2015-02-04 |
| 1902240161 | Made Ya Smile Rosenberg Pllc | Dentist | 23503 Brazos Town Crossing, Ste. 300, Rosenberg, TX 77471 | 2013-04-18 |
| 1912244419 | Debra R Elliott | Physician Assistant | 2520 Bf Terry Blvd., Fm 2218, Rosenberg, TX 77471 | 2013-01-04 |
| Find all providers in zip 77471 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896874 | David Wayne Viaclovsky | Specialist/Technologist | 7404 Town Center Blvd Apt 812, Rosenberg, TX 77471-6233 | 2009-09-17 |
| 1144260845 | Dennis Carl Fyke | Specialist/Technologist | 4606 Mustang Ave, Rosenberg, TX 77471-2121 | 2006-06-08 |
| 1346751583 | Cindy Tiegs | Specialist/Technologist | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2017-10-16 |
| 1477950335 | Kevin Roberts | Specialist/Technologist | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2014-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932562 | Kyndall Leigh Soukup | Specialist/Technologist | 16002 Rosethorn Ct, Cypress, TX 77429-3490 | 2020-11-03 |
| 1447850631 | Claire Oliver-dehaven | Specialist/Technologist | 7012 Ridgetop Rd, North Richland Hills, TX 76182-3331 | 2020-10-28 |
| 1609476894 | Tessa Mcelroy | Specialist/Technologist | 1606 Trail Glen Ct, Pantego, TX 76013-3152 | 2020-10-28 |
| 1265031702 | Kiana Angelique Leveston | Specialist/Technologist | 2820 W Frey St Apt 7209, Stephenville, TX 76401-1905 | 2020-10-24 |
| 1205435856 | Jessica Moreno | Specialist/Technologist | 3718 Duck Creek Dr, Garland, TX 75043-2962 | 2020-10-23 |
| 1437758612 | Dina Y Scott | Specialist/Technologist | 107 N Greenville Ave Ste B, Allen, TX 75002-9161 | 2020-10-20 |
| 1275131864 | Kasie Bell | Specialist/Technologist | 215 Richland Dr, Kilgore, TX 75662-2049 | 2020-10-15 |
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538766191 | Francisco Ruben Perez | Specialist/Technologist | 2503 6th St, Lubbock, TX 79409-9806 | 2020-10-07 |
| 1356958128 | Brandi Neeley | Specialist/Technologist | 12131 Kirby Dr, Houston, TX 77045-4857 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRYSTAL TYREE.
| 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.