Crystal Lea Mathis, RN, MSN, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1057018 Issued in TX

Practice address

1250 8TH Ave Ste 570
Fort Worth, TX 76104-4145

Phone

(817) 332-6667

NPI assigned

Nov 3, 2021

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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.

• Fort Worth Perinatal Associates, P.a.

  • Specialist
  • Fort Worth, TX
  • NPI 1669686937
  NPD

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1689339756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 COBBLE STONE",
            "city": "GODLEY",
            "state": "TX",
            "postal_code": "760443397",
            "telephone_number": "817-304-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 570",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044145",
            "telephone_number": "817-332-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CRYSTAL",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1057018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manu Mathews, M.D
• Marvin S. Mathews, LMFT
• Matoya Mathews
• Stephen Mathews, REGISTERED NURSE
• Wendy Mathews
• Nancy J Mathis, MD
• Scott Brockwell Mathis, MD
• Taja Mathis
• Ursula Mathis, NP
• Monika Mathur, MD

• Women's Health Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.