Active NPI
Doc McCrackin, PLLC
- Primary Care Clinic/Center
- Spring, TX
National Provider Identifier
1104642511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DOC MCCRACKIN, PLLC
- Practice address
- 8714 Spring Cypress Rd Ste 170
Spring, TX 77379-3396 - Phone
- (346) 808-7084
- Fax
- (346) 740-1927
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Heather Nicole McCrackin, FNP
- Title
- Owner/Primary Provider
- Phone
- (281) 323-0092
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8714 Spring Cypress Rd Ste 170
Spring, TX 77379-3396
Mailing address
8714 Spring Cypress Rd Ste 170
Spring, TX 77379-3396
Other names 1
- Waters of Wellness Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2316742 | Waters of Wellness Family Medicine | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Spring, TX
- NPI 1649951757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1104642511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8714 SPRING CYPRESS RD STE 170",
"city": "SPRING",
"state": "TX",
"postal_code": "773793396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8714 SPRING CYPRESS RD STE 170",
"city": "SPRING",
"state": "TX",
"postal_code": "773793396",
"telephone_number": "346-808-7084",
"fax_number": "346-740-1927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOC MCCRACKIN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-02",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "MCCRACKIN",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER/PRIMARY PROVIDER",
"authorized_official_telephone_number": "281-323-0092",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waters of Wellness Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Waters of Wellness Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.