Organization Active NPI

Jean Gisler

Doing business as Crossroads Family Practice

  • Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1750367314
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
427272 Issued in TX
Legal business name
JEAN GISLER
Doing business as
Crossroads Family Practice
Practice address
3002 Sam Houston Dr
Victoria, TX 77904-2682
Phone
(361) 575-4100
Fax
(361) 575-4111
NPI assigned
Dec 15, 2005
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mrs. Jean G Gisler, FNPNPI 1376529933
Title
Owner
Phone
(361) 575-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 427272 TX Primary

Addresses

Primary practice location

3002 Sam Houston Dr
Victoria, TX 77904-2682

Mailing address

PO Box 3276
Victoria, TX 77903-3276
Phone (361) 576-3680

Other identifiers 2

IdentifierTypeStateIssuer
167309702MedicaidTX
0024LHOtherTXBCBS OF TX #

Other names 1

  • Crossroads Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

2806 N Navarro St
Victoria, TX 77901
Phone (361) 575-4100

2806 N Navarro St
Ste J
Victoria, TX 77901
Phone (361) 573-7301

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1750367314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033276",
            "telephone_number": "361-576-3680",
            "fax_number": "361-576-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042682",
            "telephone_number": "361-575-4100",
            "fax_number": "361-575-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN GISLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "GISLER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-4100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "427272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167309702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX #",
            "identifier": "0024LH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.