KYLA CRISPE


Address: 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414
Phone: 8175390959

KYLA CRISPE (NPI# 1740736099) 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) 1740736099
Entity Type Individual
Full Name KYLA CRISPE
Credential PA-C
Practice Address 2800 E Broad St
Ste #124
Mansfield
TX 76063-6414
Practice Telephone 8175390959
Mailing Telephone 8175390959
Enumeration Date 2016-08-28
Last Update Date 2016-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2800 E BROAD ST
STE #124
City MANSFIELD
State TX
Zip Code 76063-6414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942287388 John Tiu Internal Medicine 2800 E Broad St, Suite 514, Mansfield, TX 76063-6417 2005-12-28
1902264732 Paige Herlihy Physician Assistant 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 2016-02-08
1215392840 Center for Scoliosis and Advanced Spine Surgery Orthopaedic Surgery 2800 E Broad St, 512, Mansfield, TX 76063-6409 2015-12-26
1669857595 Uyen Ngoc Bao Phan Physician Assistant 2800 E Broad St, Suite 124, Mansfield, TX 76063-6409 2015-07-21
1982945127 Hospitalist Partners of Excellence In Mansfield (h.o.p.e), P.a. Clinic/Center 2800 E Broad St, Suite 308, Mansfield, TX 76063-6412 2013-03-13
1902160708 Helen Kaporis Dermatology 2800 E Broad St, Ste 124, Mansfield, TX 76063-6409 2012-06-27
1164793246 Amy Renee Lewis Nurse Practitioner 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 2012-01-20
1144541202 Magdala Poon Psychiatry & Neurology 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 2010-06-11
1598913253 Mansfield Dermatology, Pllc Dermatology 2800 E Broad St, Suite 408, Mansfield, TX 76063-6414 2008-09-05
1700040490 Dallas Oncology Consultants Pa Internal Medicine 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 2008-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215447602 Emily N Keller Physician Assistant 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 2017-10-11
1982712345 Brandy Piacentino Physician Assistant 1947 Harrington Memorial Rd, Mansfield, OH 44903-8049 2006-08-27
1275546327 Marie Moroschok Physician Assistant 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 2006-08-13
1619955457 Lawrence William Gess Jr. Physician Assistant 2364 Highway 287 N, Suite 115, Mansfield, TX 76063-9208 2006-01-03
1457859381 Broegan Sautter Physician Assistant 741 Scholl Rd, Mansfield, OH 44907-1571 2018-01-25
1962880328 Danny Allen Hall Physician Assistant 1001 Olivesburg Rd, Mansfield, OH 44905-1228 2015-05-18
1083855936 Tzietal Gail Davidson Physician Assistant 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063-3674 2009-03-23
1669659363 Tony Paul Physician Assistant 130 Jefferson St, Mansfield, LA 71052-2602 2008-01-24
1144366139 Ashlee Elaine Braziel Physician Assistant 2700 E Broad St, Mansfield, TX 76063-5899 2007-01-29
1437254653 Melissa M Irwin Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2006-09-13
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Competitor

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City MANSFIELD
Zip Code 76063

Improve Information

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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.

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