Imelda Bravo Cristal

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1113430 Issued in TX

Practice address

7 Skipwith PL
Spring, TX 77382-2766

Phone

(951) 315-0010

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ICHDAD/Endpoint/ICHDAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Physician Associates

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1760919880

  Single Specialty

  Medicare reassignment NPD
• Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811453293

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1023723228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SKIPWITH PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SKIPWITH PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822766",
            "telephone_number": "951-315-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTAL",
        "first_name": "IMELDA",
        "middle_name": "BRAVO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1113430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Created to Thrive PLLC
• Lemmishea Crenshaw
• Crescent Boulevard Care LLC
• Chasity Criner
• Danielle Marie Crissman
• Criti-Care Health Services, Inc
• Crna Group of Texas LLC
• Gregory Crocker, DC
• Jill W Crocker, DC
• Bronesha Crockett

• Family Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.