Individual provider Active NPI

Crystal McLeod, D.O

  • Pediatrics Physician
  • Prosper, TX
National Provider Identifier
1417213455
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P7310 Issued in TX
Practice address
1000 N Preston Rd Ste 20
Prosper, TX 75078-8891
Phone
(469) 296-8030
NPI assigned
Apr 4, 2012
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P7310 TX Primary

Addresses

Primary practice location

1000 N Preston Rd Ste 20
Prosper, TX 75078-8891

Mailing address

4821 Lunker St
McKinney, TX 75071-5368
Phone (347) 513-5166

Other practice location 1

2120 Prairie Dr Ste 102
Prosper, TX 75078-3818
Phone (972) 544-9455

Other practice location 2

2148 N Lake Forest Dr Ste 304
McKinney, TX 75071-0654
Phone (972) 544-9455

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Direct

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Pediatrics PLLC Past Accepting new patients

Organizations & group practices 1

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1417213455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 LUNKER ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715368",
            "telephone_number": "347-513-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PRESTON RD STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788891",
            "telephone_number": "469-296-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Prairie Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750783818",
            "country_code": "US",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2148 N Lake Forest Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750710654",
            "country_code": "US",
            "telephone_number": "972-544-9455",
            "fax_number": "972-544-9465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "CRYSTAL",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR API",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2120 Prairie Dr Ste 102",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750783818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.