Individual provider Active NPI

Crystal Ann Talavera, WHCNP

  • Women's Health Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1154510980
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP116902 Issued in TX
Practice address
1309 S University Dr
Nacogdoches, TX 75961-6486
Phone
(936) 560-5668
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP116902 TX Primary

Addresses

Primary practice location

1309 S University Dr
Nacogdoches, TX 75961-6486

Mailing address

PO Box 632040
Nacogdoches, TX 75963-2040
Phone (936) 585-7121

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081203000561 TX Practitioner - Nurse Practitioner 5395806764 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nacogdoches County Hospital District Women'S Health CurrentSince Sep 1, 2014 Accepting new patients
East Texas Community Health Services, Inc CurrentSince Dec 21, 2025 Accepting new patients
Nacogdoches County Hospital District CurrentSince Sep 1, 2014 Accepting new patients
East Texas Community Health Services, Inc. CurrentSince Jun 11, 2024 Accepting new patients

Locations

1108 South St
Nacogdoches, TX 75964
Phone (936) 560-3097

1309 S University Dr
Nacogdoches, TX 75961
Phone (936) 560-5668

1018 N Mound St
Ste 205
Nacogdoches, TX 75961
Phone (936) 560-0707

1018 N Mound St
Ste 202
Nacogdoches, TX 75961
Phone (936) 564-1895

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/seminol-3b162432

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1154510980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632040",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632040",
            "telephone_number": "936-585-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759616486",
            "telephone_number": "936-560-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALAVERA",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP116902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.