Cristina Rose Etienne, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8321 Issued in AZ

Practice address

444 W Osborn Rd Ste 200
Phoenix, AZ 85013-3817

Phone

(480) 223-9314

Fax

(480) 923-9155

NPI assigned

Mar 29, 2021

Last updated

Feb 7, 2025By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Primary Care LLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1942024914
  Medicare reassignment NPD
• Arizona Clinic PLLC

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1053188771
  Medicare reassignment
• Global Med Care PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1023866753
  Authorized official Same address or phone

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1023695525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113610",
            "telephone_number": "480-223-9314",
            "fax_number": "480-923-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133817",
            "telephone_number": "480-223-9314",
            "fax_number": "480-923-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "CRISTINA",
        "middle_name": "ROSE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "450",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eternal Love Hospice LLC
• Eternal Pathway LLC
• Eternity Home Health Care LLC (Eternity Home Health Care)
• Eternity Hospice and Palliative Care, PLLC
• Eternity Services LLC
• Gregory C Etienne, PA
• Samantha Valerie Etienne, MD
• Samuel Lucas Etling
• Ali Etman
• Saslee Etrata-Daite

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.