MRS. CRYSTAL KITTISOPIKUL (NPI# 1508107657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508107657 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL KITTISOPIKUL |
| Credential | PA |
| Practice Address |
2021 N Macarthur Blvd Suite 350 Irving TX 75061-2219 |
| Practice Telephone | 9722532515 |
| Practice Fax Number | 9722534217 |
| Mailing Telephone | 9722532515 |
| Mailing Fax Number | 9722534217 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2021 N MACARTHUR BLVD SUITE 350 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689919 | Sridevi Juvvadi | Internal Medicine | 2021 N Macarthur Blvd, Suite 400, Irving, TX 75061 | 2005-06-15 |
| 1285281857 | Taylor Brooke Diehl | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-08-19 |
| 1497213227 | Hannah Coy Bashaw | Nurse Practitioner | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2019-03-11 |
| 1669996146 | Kaylee Currie | Social Worker | 2021 N Macarthur Blvd, Irving, TX 75061-2219 | 2017-07-27 |
| 1215332218 | Raymond Kwan | Physician Assistant | 2021 N Macarthur Blvd, Ste 350, Irving, TX 75061-2219 | 2014-11-03 |
| 1003233370 | Bilkish Chunara | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061-2219 | 2014-03-25 |
| 1083961254 | Dermatology of Irving Pllc | Dermatology | 2021 N Macarthur Blvd, Suite 300, Irving, TX 75061-2219 | 2012-08-07 |
| 1780947382 | Leslie Johanson | Nurse Practitioner | 2021 N Macarthur Blvd, 150, Irving, TX 75061-2219 | 2012-06-19 |
| 1578851275 | Sheila Marie Jones | Nurse Practitioner | 2021 N Macarthur Blvd, Ste 250, Irving, TX 75061-2219 | 2011-07-14 |
| 1982999041 | Megan Deblieck | Physical Therapist | 2021 N Macarthur Blvd, Suite 550, Irving, TX 75061-2219 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810476 | Joyce Yan Chuen | Physician Assistant | 6161 State Highway 161, Suite 310, Irving, TX 75038-2220 | 2019-09-12 |
| 1982154829 | Oracle Health & Rehabilitation Center LLC | Physician Assistant | 1425 W Pioneer Dr Ste 112b, Irving, TX 75061-7124 | 2016-10-04 |
| 1922483866 | Ashley Halfast | Physician Assistant | 3412 Hidalgo St, Irving, TX 75062-6517 | 2015-07-21 |
| 1124449244 | Jeffin Alex | Physician Assistant | 4735 Byron Cir, Irving, TX 75038-6319 | 2013-12-16 |
| 1063841310 | Jwalant Patel | Physician Assistant | 6245 Love Dr, Apt 1526, Irving, TX 75039-4053 | 2013-11-07 |
| 1447565106 | Clara Graham | Physician Assistant | 7924 N Macarthur Blvd, # 3081, Irving, TX 75063-3736 | 2010-08-18 |
| 1144311002 | Lori Rae Wimberley | Physician Assistant | 122 Village Ctr, Irving, TX 75061-2647 | 2006-09-27 |
| 1376108944 | Tots 2 Teens Kid Care, Pllc | Physician Assistant | 3626 N Macarthur Blvd Ste 200, Irving, TX 75062-3643 | 2019-05-08 |
| 1518389980 | Karrah Alayne Black | Physician Assistant | 6161 N Highway 161, Irving, TX 75038 | 2014-01-20 |
| 1235490046 | Tamara Mcpeters Martin | Physician Assistant | 3626 N Macarthur Blvd, Suite 200, Irving, TX 75062-3643 | 2012-06-07 |
| Find all providers in IRVING | ||||
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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.