Krystal Deanne Williams, AGPCNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1226746 Issued in TX

Practice address

810 N Hill St Ste 5
Tatum, TX 75691-1740

Phone

(903) 947-2273

NPI assigned

Mar 6, 2026

Last updated

Mar 6, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Elizabeth Breedlove Family Practice & Aesthetics PLLC

  • Family Nurse Practitioner
  • Tatum, TX
  • NPI 1356740054
  Medicare reassignment

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1629924253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON ST",
            "city": "BECKVILLE",
            "state": "TX",
            "postal_code": "756311746",
            "telephone_number": "903-824-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N HILL ST STE 5",
            "city": "TATUM",
            "state": "TX",
            "postal_code": "756911740",
            "telephone_number": "903-947-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 N Hill St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tatum",
            "state": "TX",
            "postal_code": "756911740",
            "country_code": "US",
            "telephone_number": "903-947-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRYSTAL",
        "middle_name": "DEANNE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1226746",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1226746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Isd
• The House Call Health Co
• Tasha Marie Tovar, FNP
• Tammy Lynn Tubbleville, MS, RDN, LD
• Michael J Weber, MD

• Nurse Practitioner in Tatum, TX
• Providers in Tatum, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.