Crystal Whitby, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06613 Issued in TX

Practice address

4707 Eigel St Ste 100
Houston, TX 77007-3417

Phone

(713) 960-1311

Fax

(713) 960-1325

NPI assigned

Apr 23, 2010

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dermatology & Cosmetic Surgery Associates PA

  dba Lifeway Dermatology

  • Specialist
  • Houston, TX
  • NPI 1164859229
  NPD (past)
• Warthan Dermatology Nacogdoches PLLC

  • Dermatology Physician
  • Nacogdoches, TX
  • NPI 1144820135
  NPD (past)

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1922325414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "713-960-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "713-960-1325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27150 Highway 290 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337224",
            "country_code": "US",
            "telephone_number": "832-653-3300",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042049",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "713-960-1325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITBY",
        "first_name": "CRYSTAL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Whitaker, M.D.
• Kelli K Whitaker, PA
• Rashaunda West Whitaker, APRN
• Tynashia Deyona Whitaker, SLP-ASSISTANT
• Mirasol Kingery Whitbey, MS, NCC, LP-A
• White Coat Medical Laboratories Limited Liability Company
• White Heart Pharmacy Inc
• White Heart Pharmacy Inc LTC
• White House Health Systems of Texas
• White House Speech Therapy LLC

• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.