Organization Active NPI

Creedon Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1023963618
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CREEDON PSYCHIATRY PLLC
Practice address
5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone
(972) 846-4080
Fax
(972) 947-5231
NPI assigned
Feb 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Eliza Creedon, NPNPI 1407534522
Title
Nurse Practitioner
Phone
(972) 846-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008

Mailing address

5300 Town and Country Blvd Ste 240
Frisco, TX 75034-1008
Phone (972) 846-4080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address liz@liznp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260406003538 TX Part B Supplier - Clinic/Group Practice 9931674108 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1023963618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341008",
            "telephone_number": "972-846-4080",
            "fax_number": "972-947-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TOWN AND COUNTRY BLVD STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341008",
            "telephone_number": "972-846-4080",
            "fax_number": "972-947-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDON PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-28",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "CREEDON",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-846-4080",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liz@liznp.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5300 Town and Country Blvd Ste 240",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750341008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.