Individual provider Active NPI

Crystal Gail McDaniel, FNP-C

  • Family Nurse Practitioner
  • Lexington, TN
National Provider Identifier
1376815415
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16458 Issued in TN
Practice address
250 Boswell Street
Lexington, TN 38351-1566
Phone
(731) 968-2006
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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 16458 TN Primary

Addresses

Primary practice location

250 Boswell Street
Lexington, TN 38351-1566

Mailing address

250 Boswell Street
Lexington, TN 38351-1566
Phone (731) 968-2006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120314000411 TN Practitioner - Nurse Practitioner 8628237492 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
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

119 Veterans Dr N
Huntingdon, TN 38344-6203
Phone (931) 332-0961

125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9500

2054 S Highland Ave
Jackson, TN 38301-7741
Phone (731) 499-8708

2747 Kirby Rd
Memphis, TN 38119-8236
Phone (931) 253-1110

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 18, 2014 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 18, 2014 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Lentz Pediatrics, PLC PastSince Mar 14, 2011 Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1376815415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BOSWELL STREET",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511566",
            "telephone_number": "731-968-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BOSWELL STREET",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511566",
            "telephone_number": "731-968-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CRYSTAL",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.