Mary Christine Crider

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

186928 Issued in TX

Practice address

283 Loon Lake Dr
Kyle, TX 78640-5762

Phone

(512) 395-7477

NPI assigned

Nov 26, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1588200356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 LOON LAKE DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405762",
            "telephone_number": "512-395-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 LOON LAKE DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405762",
            "telephone_number": "512-395-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "186928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Sean Cowden, MD, MPH
• Savannah Elise Cox, APRN
• Crafton Place Associates, PLLC
• Linda M Crannell, O.D.
• Laura Crider
• Jeffrey Duane Cunningham, DC
• CVS Pharmacy Inc. (CVS Pharmacy #)
• CVS Pharmacy, Inc. (CVS Pharmacy #03505)
• Ana Paula D'Acosta Sanchez
• Carolina A M Da Mata, DC

• Licensed Vocational Nurse in Kyle, TX
• Providers in Kyle, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.