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CRYSTAL WADE APRN-CNP
NPI 1548056542
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since April 16, 2025
4204 GARDENDALE ST STE 107, SAN ANTONIO, TX 78229(210) 334-0108 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Nov 4, 2025, Jun 20, 2025 (3 updates tracked since 2025).

About Crystal Wade Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL WADE APRN-CNP (NPI 1548056542) is an individual psychiatric/mental health provider in San Antonio, Texas, licensed in Texas (1216753) and active in the NPI registry since April 2025. She maintains a secondary practice location in Converse.

NPPES Registry Identity

NPI1548056542
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL WADECredential: APRN-CNP
Location Address4204 GARDENDALE ST STE 107San Antonio, TX 78229-3138
Mailing Address214 Kimberly DrConverse, TX 78109-1530 · (210) 570-0214
Phone(210) 334-0108
Sole ProprietorYes
Enumeration DateApril 16, 2025
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1548056542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1216753
Also ListedRegistered NurseTaxonomy 163W00000X · License 913829 (TX), 1015357 (OR)
4204 GARDENDALE ST STE 107, San Antonio, TX 78229
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Secondary Practice Location 1

Location 1214 Kimberly DrConverse, TX 78109-1530 · Phone (210) 570-0214 ext. 74822

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOE RAYMOND MARTINEZ JR. LPC-A
Counselor (Mental Health)
4204 GARDENDALE ST STE 107
SAN ANTONIO, TX 78229
Bexar County (312) 752-6797
JANET MONE REED
Peer Specialist
4204 GARDENDALE ST STE 107
SAN ANTONIO, TX 78229
Bexar County (210) 990-1951
DME DIRECT LLC
Durable Medical Equipment & Medical Supplies
4204 GARDENDALE ST STE 107
SAN ANTONIO, TX 78229
Bexar County (210) 593-4000
LEANNA RAE TALIAFERRO
Counselor (Mental Health)
4204 GARDENDALE ST STE 107
SAN ANTONIO, TX 78229
Bexar County (210) 334-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Wade's NPI number?

The NPI number for Crystal Wade is 1548056542. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Crystal Wade located?

Crystal Wade practices at 4204 Gardendale St Ste 107, San Antonio, TX 78229. The listed phone number is (210) 334-0108.

What is Crystal Wade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Wade was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.