Krystal Lynn Gilmore

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AP141676 Issued in TX

Practice address

121 S Main St
Crandall, TX 75114-2901

Phone

(903) 802-5167

NPI assigned

May 30, 2019

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Etx Inject Cosmetics & Wellness Crandall PLLC

  • Primary Care Clinic/Center
  • Gun Barrel City, TX
  • NPI 1023900768
  NPD Authorized official

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1992363428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751142901",
            "telephone_number": "903-802-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751142901",
            "telephone_number": "903-802-5167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1829 W Main St",
            "address_purpose": "LOCATION",
            "city": "Gun Barrel City",
            "state": "TX",
            "postal_code": "751564401",
            "country_code": "US",
            "telephone_number": "903-840-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "KRYSTAL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP141676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Dudley, RDN, LDN
• Delanie Dye
• Dean Elendu
• Ever Faith Home of Dallas
• Katiuska Coromoto Gamez Canizalez, CCHI
• Carla Dodson Giudice
• Dorothy Godia
• Karina Edith Harris
• Harold Arthur Heafer, MD
• Heartland Psychiatry and Wellness PLLC

• All providers in Crandall, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.