Christal Ford, BSN RN-BC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

917808 Issued in TX

Practice address

10854 Chickasha Dr
Tyler, TX 75703-7924

Phone

(601) 832-0832

NPI assigned

May 7, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

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.

• Abundant Care Rehabilitation and Enrichment Services, LLC (Acres)

  • Home Health Agency
  • Sulphur Springs, TX
  • NPI 1366050205
  NPD Authorized official
• Misstex Healthcare Consulting, LLC

  • Case Management Agency
  • Tyler, TX
  • NPI 1821653627
  NPD Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1992360796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10854 CHICKASHA DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037924",
            "telephone_number": "601-832-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10854 CHICKASHA DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037924",
            "telephone_number": "601-832-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHRISTAL",
        "name_prefix": "Mrs.",
        "credential": "BSN RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "2020013151",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "917808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot Specialists of Tyler, PA
• Gerald P Foox, MD
• Ginger L Forbus
• Valery Forcha, PHARM.D
• Chiayrsh Ford, DO
• Joan O. Ford, L.P.C.
• Michael C. Ford, MD
• Nichole Birdsong Ford, MD
• Stephen Swygert Ford, PT, DPT, CSCS
• Chloe Forehand, LCSW

• Registered Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.