Crystal Rene Rose, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

AP128269 Issued in TX

Practice address

7016 Bryant Irvin Rd Ste 100
Fort Worth, TX 76132-4120

Phone

(817) 377-8820

Fax

(817) 377-8450

NPI assigned

Oct 30, 2015

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

Other names 1

• Crystal Rene Trahan Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.trahan@hercompletehealthcare.directbygreenway.com

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.

• Linda Bernstein MD PA

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1346566999
  Medicare reassignment NPD
• Basil Bernstein MD PA

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1093976334
  NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1003289935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 BRYANT IRVIN RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324120",
            "telephone_number": "817-377-8820",
            "fax_number": "817-377-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 BRYANT IRVIN RD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324120",
            "telephone_number": "817-377-8820",
            "fax_number": "817-377-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CRYSTAL",
        "middle_name": "RENE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP128269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "TRAHAN",
            "middle_name": "RENE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Danielle Rosas, LVN
• Rose Chiropractic & Wellness
• Rose Imaging Specialists, PA
• Rose Lavilla Counseling, PLLC
• Christina Desousa Rose, M.D., M.P.H.
• Dustin James Rose, D.C.
• Haylee Rose, RBT
• Jessica Rose, LMSW
• Michael Rose
• Pamela J Rose

• Advanced Practice Midwife in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.