Individual provider Active NPI

Krystal Lovelady, FNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1285901967
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
716566 Issued in TX
Practice address
1924 Pine St
Suite 401C
Abilene, TX 79601-2451
Phone
(325) 670-4080
Fax
(325) 670-4004
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 716566 TX Primary

Addresses

Primary practice location

1924 Pine St
Suite 401C
Abilene, TX 79601-2451

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4220

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
I20120727000605 TX Practitioner - Nurse Practitioner 4981860475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group West Texas, PLLCGroup PAC ID 5597747378, 57 clinicians

Practice addresses (Care Compare)

1665 Antilley Rd
Suite 200
Abilene, TX 79606-5271
Phone (325) 793-5100

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Hendrick Provider Network CurrentSince Jun 24, 2012 Accepting new patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Jun 24, 2012 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1326 Pine St
Abilene, TX 79601
Phone (325) 261-8883

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1924 Pine St
Ste 401C
Abilene, TX 79601
Phone (325) 670-4020

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

Interoperability endpoints

  • Direct secure messaging: krystal.lovelady.1@23308.direct.athenahealth.com
  • Direct secure messaging: krystallovelady@hmc.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1285901967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4220",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINE ST",
            "address_2": "SUITE 401C",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012451",
            "telephone_number": "325-670-4080",
            "fax_number": "325-670-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELADY",
        "first_name": "KRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "716566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.