Individual provider Active NPI

Crystal L Gazda, APRN

  • Family Nurse Practitioner
  • Granbury, TX
National Provider Identifier
1982255352
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1157504 Issued in TX
Practice address
1411 Crawford Ave
Granbury, TX 76048
Phone
(817) 573-6800
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1157504 TX Primary

Addresses

Primary practice location

1411 Crawford Ave
Granbury, TX 76048

Mailing address

1411 Crawford Ave
Granbury, TX 76048

Other names 1

  • Crystal L Hubbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217000733 OK Practitioner - Nurse Practitioner 7113332594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1157504TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossover Health Services Inc CurrentSince Feb 8, 2022 Accepting new patients
Crossover Health Services Inc Current Accepting new patients
CBH Inc PastSince Jun 1, 2020 Accepting new patients
Creoks Mental Health Services PastSince Dec 13, 2020 Accepting new patients

Locations

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460

Interoperability endpoints

  • Direct secure messaging: crystal.gazda.1@23838.direct.athenahealth.com
  • Direct secure messaging: crystal.gazda@250615391387652.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1982255352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 CRAWFORD AVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "fax_number": "817-573-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 CRAWFORD AVE",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76048",
            "telephone_number": "817-573-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDA",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1157504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HUBBELL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.