NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Westlake, TX
National Provider Identifier
1194586420
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
2 Destiny Way FL 1
Westlake, TX 76262-8100
Phone
(817) 474-6333
Fax
(817) 491-5925
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Jenette Hunter
Title
Licensing and Credentialing Manager
Phone
(971) 500-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2 Destiny Way FL 1
Westlake, TX 76262-8100

Mailing address

2 Destiny Way FL 1
Westlake, TX 76262-8100
Phone (817) 474-6333

National Provider Directory

National Provider Directory
Tax ID family
Crossover Health Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

2 Destiny Way
Fl 1
Westlake, TX 76262
Phone (817) 474-6333

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1194586420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DESTINY WAY FL 1",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628100",
            "telephone_number": "817-474-6333",
            "fax_number": "817-491-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DESTINY WAY FL 1",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762628100",
            "telephone_number": "817-474-6333",
            "fax_number": "817-491-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "LICENSING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "971-500-2661"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.