Active NPI
Krystle Cravens-Hicks, APRN, FNP-BC
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1029908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Community Health Services, Inc | Current | Accepting new patients | |
| Legacy Community Health Services, Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1679524961
-
- Federally Qualified Health Center (FQHC)
- Pasadena, TX
- NPI 1609762889
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.