Active NPI
Crystal K Dougherty, LSA, PA-S
- Student in an Organized Health Care Education/Training Program
- Sugar Land, TX
National Provider Identifier
1992293153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808 - Phone
- (832) 407-6033
- NPI assigned
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00740 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808
Mailing address
6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808
Phone (832) 407-6033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00740 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780704000000",
"number": "1992293153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6544 GREATWOOD PKWY STE A",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796808",
"telephone_number": "832-407-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6544 GREATWOOD PKWY STE A",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774796808",
"telephone_number": "832-407-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "CRYSTAL",
"middle_name": "K",
"credential": "LSA, PA-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2026-06-06",
"certification_date": "2026-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00740",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.