IndividualActive
Crystal Nicholas, PA-C
NPI 1174980932 · Physician Assistant · Dallas, TX
Provider details
- NPI number
- 1174980932
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA10407 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone: (469) 852-5014
Street-level locationGet directions
Mailing address
5323 Harry Hines Blvd
Dallas, TX 75390-7201
Additional practice locations (1)
- 4000 E Renner Rd Apt 1028Richardson, TX 75082-2732Phone: (520) 248-2733
Registry dates
- Enumerated
- 2016-01-25
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.