Crystal Nichole Heads, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

API45896 Issued in TX

Practice address

7777 Katy Fwy Apt 353
Houston, TX 77024-2056

Phone

(832) 896-9649

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Crystal Nichole Heads Professional name

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602288000000",
    "number": "1912516030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 KATY FWY APT 353",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242056",
            "telephone_number": "832-896-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 KATY FWY APT 353",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242056",
            "telephone_number": "832-896-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADS",
        "first_name": "CRYSTAL",
        "middle_name": "NICHOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "API45896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "API45896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HEADS",
            "middle_name": "NICHOLE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Angela Michele Heads, PH.D,
• Harold Heah
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• Heal Thy Body PLLC
• Heal to Thrive LLC
• Melissa Heald, CPNP-PC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.