Crystal Dian Thomas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11022227 Issued in FL

Practice address

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323

Phone

(561) 622-1411

NPI assigned

May 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein Specialists at Royal Palm Square IncGroup PAC ID 7214001494, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.thomas@hca4.eclinicaldirectplus.com
• Direct secure messaging: cthomas20994@jupitermedicalcenter.direct-ci.com

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.

• Vein Specialists at Royal Palm Square Inc

  • Vascular Surgery Physician
  • Fort Myers, FL
  • NPI 1124205349

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bassam Sayegh MD PA

  • Surgery Physician
  • Jupiter, FL
  • NPI 1578731733

  Single Specialty

  Medicare reassignment NPD
• Minimal Invasive Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Jupiter, FL
  • NPI 1932406956
  Medicare reassignment NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1457041576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FRIST BLVD STE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104323",
            "telephone_number": "561-622-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CRYSTAL",
        "middle_name": "DIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11022227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nethania Thelemaque
• Charles S Theofilos, M.D. P.A.
• Krystina Thermidor
• Shawdae Thomas Smith, MD
• Austin Thomas-Palacios
• Deja Thomas
• Honesty Yasmin Thomas
• Jade Thomas, DDS
• Matthew Thomas, MD
• Jose Demeetre Thompson, PHARMD

• Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.