Individual provider Active NPI

Crystal Arambula Edic, NP-C

  • Family Nurse Practitioner
  • Castle Hills, TX
National Provider Identifier
1245908060
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1053629 Issued in TX
Practice address
6915 West Ave
Castle Hills, TX 78213-1822
Phone
(210) 341-1487
NPI assigned
Sep 6, 2021
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1053629 TX Primary
Primary Care Nurse Practitioner 363LP2300X 1053629 TX

Addresses

Primary practice location

6915 West Ave
Castle Hills, TX 78213-1822

Mailing address

6915 West Ave
Castle Hills, TX 78213-1822
Phone (210) 341-1487

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
I20231215000129 TX Practitioner - Nurse Practitioner 3678922697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1053629TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Nov 30, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Nov 30, 2023 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Nov 30, 2023 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1245908060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 WEST AVE",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131822",
            "telephone_number": "210-341-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 WEST AVE",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131822",
            "telephone_number": "210-341-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDIC",
        "first_name": "CRYSTAL",
        "middle_name": "ARAMBULA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1053629",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1053629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Hills, TX

Sources for this page

Verify at the official NPI Registry.