Crystal Lites Speede, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP127111 Issued in TX

Practice address

1000 Pine St
ER
Texarkana, TX 75501-5100

Phone

(903) 798-8880

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Crystal Stewart Former name

Medicare fee-for-service enrollment

Enrolled in TX, LA, NY3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

RH Emergency Medicine of Natchitoches LLCGroup PAC ID 4789173832, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007
• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cspeede34576@mvhealthsystem.direct-ci.com
• Direct secure messaging: cspeede428203@christushealth.direct-ci.net

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.

• RH Emergency Medicine of Natchitoches LLC

  • Emergency Medicine Physician
  • Natchitoches, LA
  • NPI 1821974825

  LA

  Medicare reassignment Care Compare group NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  TX

  Medicare reassignment Care Compare group NPD
• Bonita Creek Emergency Services PLLC

  • Emergency Medicine Physician
  • Nacogdoches, TX
  • NPI 1902555485

  TX

  Medicare reassignment NPD
• Texarkana Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1871813345

  Nurse Practitioner, TX

  Medicare reassignment NPD
• Union Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1023798501

  Nurse Practitioner, TX

  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847

  NY

  Medicare reassignment NPD
• St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1891187654

  LA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1962819664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PINE ST",
            "address_2": "ER",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015100",
            "telephone_number": "903-798-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEEDE",
        "first_name": "CRYSTAL",
        "middle_name": "LITES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07951",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "346176",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "STEWART",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Nathan Sparks, PA-C
• Special Health Resources for Texas Incorporated
• Special Health Resources for Texas, Incorporated
• Special Health Resources for Texas, Incorporated
• Speech Pathology Services
• Kurt E Springmann, MD
• Bryan Spruill, PA
• Lee R. Staats, LPC-I
• Carey Robert Stanley, OT
• Rachel Leah Stanley, FNP-C

• All providers in Texarkana, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.