Individual provider Active NPI

Krystle Cravens-Hicks, APRN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1356936413
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029908 Issued in TX
Practice address
12807 Boris Cove TRL
Houston, TX 77047-4025
Phone
(281) 599-0077
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1029908 TX Primary

Addresses

Primary practice location

12807 Boris Cove TRL
Houston, TX 77047-4025

Mailing address

12807 Boris Cove TRL
Houston, TX 77047-4025

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
I20231023003593 TX Practitioner - Nurse Practitioner 2860848181 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Oct 10, 2023 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Oct 10, 2023 Accepting new patients

Locations

400 Keene St
Galena Park, TX 77547

8329 Lawndale St
Houston, TX 77012

11000 Scott St
Houston, TX 77047
Phone (832) 548-5076

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

5215 Jensen Dr
Houston, TX 77026

353 Crenshaw Rd
Houston, TX 77034

1415 California St
Houston, TX 77006
Phone (713) 665-8800

5515 South Loop E
Houston, TX 77033
Phone (281) 628-2095

8787 Tallyho Rd
Houston, TX 77061

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1356936413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12807 BORIS COVE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12807 BORIS COVE TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770474025",
            "telephone_number": "281-599-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS-HICKS",
        "first_name": "KRYSTLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.