Crystine L'Heraux, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95008699 Issued in CA

Practice address

3249 Mt Diablo CT Ste 206
Lafayette, CA 94549-4049

Phone

(925) 338-0448

Fax

(840) 400-1020

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Clearlake Hospital Inc.Group PAC ID 3072421197, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystine.lheraux@13475020865540.direct.elationemr.com

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.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Cardiovascular Disease Physician
  • Ukiah, CA
  • NPI 1467790774
  NPD
• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)
• Michael R. Cosenza, DPM, Inc.

  • Primary Podiatric Medicine Podiatrist
  • Ukiah, CA
  • NPI 1316459787
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Care Compare affiliation

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1255838603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 VERNA WAY",
            "city": "LUCERNE",
            "state": "CA",
            "postal_code": "954588593",
            "telephone_number": "925-338-0448",
            "fax_number": "840-400-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 MT DIABLO CT STE 206",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494049",
            "telephone_number": "925-338-0448",
            "fax_number": "840-400-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Central Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "CA",
            "postal_code": "945132360",
            "country_code": "US",
            "telephone_number": "925-338-0448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 11th St",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954534100",
            "country_code": "US",
            "telephone_number": "707-995-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15230 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "95422",
            "country_code": "US",
            "telephone_number": "707-995-4500",
            "fax_number": "707-994-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "L'HERAUX",
        "first_name": "CRYSTINE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008699",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95008699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violet Kozloff
• John M Kravitz, LMFT
• Danielle Kumandan
• Kurt R Wharton MD, Inc.
• Vernon Kwan, P.T.
• Lafayette Physical Therapy, Inc.
• Lafayette School District
• Anupa Narendra Laheri, D.D.S.
• Vivian Lai
• Lamorinda Chiropractic

• Family Nurse Practitioner in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.