Creek Stone Integrated Medical PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CREEK STONE INTEGRATED MEDICAL PLLC

Practice address

3501 SW 45TH Ave Ste T
Amarillo, TX 79109-5676

Phone

(806) 355-3000

Fax

(806) 418-2305

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Williams, DCNPI 1356365258

Title

Owner

Phone

(806) 355-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Scott Williams, D.C.

  • Chiropractor
  • Amarillo, TX
  • NPI 1356365258
  Medicare reassignment NPD Authorized official
• Kyra Danay Easter, DC

  • Chiropractor
  • Amarillo, TX
  • NPI 1114879277
  Medicare reassignment NPD
• Raeann Mask, LMT

  • Massage Therapist
  • Amarillo, TX
  • NPI 1083251318
  NPD
• Sarah Renee Howell

  • Chiropractor
  • Waco, TX
  • NPI 1487429353
  NPD (past)
• Tristen Huseman, DC

  • Chiropractor
  • Canyon, TX
  • NPI 1609705185
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1487222683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SW 45TH AVE STE T",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095676",
            "telephone_number": "806-355-3000",
            "fax_number": "806-418-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SW 45TH AVE STE T",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095676",
            "telephone_number": "806-355-3000",
            "fax_number": "806-418-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK STONE INTEGRATED MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-355-3000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871591909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Ryan Crawford, LMSW
• Kaylee Crawford
• Lee Crawford
• Rebecca Crawford, BCBA
• Creed Counseling 109 PLLC
• Lindsey Criss, AGACNP-BC
• Brittni Kay Crist
• Debra Cristy, PT
• Stefanie Gayle Crockett, MSN, RN, FNP-BC
• Brenda Fields Cross, AU.D., CCC-A

• General Practice Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.