Crystal Faith Cisneros, NP
Individual provider Active NPI Family Nurse Practitioner · Hutto, TX
NPI 1144657404 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1144657404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 742176 (TX)
- Practice address
- 101 Chris Kelley Blvd
Hutto, TX 78634-5540 - Phone
- (512) 759-3980
- Fax
- (512) 276-6698
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 742176 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- cisneroc@yourcarecommunity.org
- crystal.cisneros@catc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 742176 | TX | Yes |
Addresses
Primary practice location
101 Chris Kelley Blvd
Hutto, TX 78634-5540
Mailing address
705 Oak Branch Dr
Georgetown, TX 78633-5630
Phone (512) 417-8523
Other providers in Hutto, TX
- CHC Hutto
- Senora Chognika
- Jennifer Young Choi
- Jenny Choi
- Paul Chun
- Brooke Allison Clanton
- Claritas Relational Therapy PLLC
- Madelynn Breanna Clark
- Paulina Alexxis Clendennen
- Kristina Elfriede Wells Cole
All providers in Hutto, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.