Individual provider Active NPI

Beheirra Criddell, NP

  • Family Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1639818792
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1073905 Issued in TX
Practice address
3727 Greenbriar Dr Ste 114
Stafford, TX 77477-3929
Phone
(281) 385-8554
Fax
(346) 341-3167
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1073905 TX Primary

Addresses

Primary practice location

3727 Greenbriar Dr Ste 114
Stafford, TX 77477-3929

Mailing address

3727 Greenbriar Dr Ste 114
Stafford, TX 77477-3929
Phone (281) 385-8554

Other names 1

  • Beheirra Criddell Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240223000399 TX Practitioner - Nurse Practitioner 7810331378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TRS Health IncGroup PAC ID 8820406168, 3 clinicians

Practice addresses (Care Compare)

3727 Greenbriar Dr
Suite 114
Stafford, TX 77477-3929
Phone (281) 385-8554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1073905TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: beheirra.criddell.1@26473.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1639818792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 GREENBRIAR DR STE 114",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773929",
            "telephone_number": "281-385-8554",
            "fax_number": "346-341-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 GREENBRIAR DR STE 114",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773929",
            "telephone_number": "281-385-8554",
            "fax_number": "346-341-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDDELL",
        "first_name": "BEHEIRRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEHEIRRA",
            "last_name": "CRIDDELL",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.