Individual provider Active NPI

Krystal Tyree, DAT

  • Athletic Trainer
  • Houston, TX
National Provider Identifier
1356759799
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT4885 Issued in TX
Practice address
10201 Spring Cypress Rd
Houston, TX 77070-6419
Phone
(832) 375-8400
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT4885 TX Primary

Addresses

Primary practice location

10201 Spring Cypress Rd
Houston, TX 77070-6419

Mailing address

11201 Boudreaux Rd Apt 1011
Tomball, TX 77375-7573
Phone (501) 912-6117

Other practice location 1

4606 Mustang Ave
Rosenberg, TX 77471-2121
Phone (832) 223-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT4885TXMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1356759799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 BOUDREAUX RD APT 1011",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757573",
            "telephone_number": "501-912-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 SPRING CYPRESS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706419",
            "telephone_number": "832-375-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 Mustang Ave",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774712121",
            "country_code": "US",
            "telephone_number": "832-223-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYREE",
        "first_name": "KRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.