Organization Active NPI

Crossroads Pediatrics PLLC

  • Pediatrics Physician
  • Midland, TX
National Provider Identifier
1083198956
Registry record updated Nov 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CROSSROADS PEDIATRICS PLLC
Practice address
3401 Greenbriar Ste 400
Midland, TX 79707-4653
Phone
(432) 699-2378
Fax
(432) 699-2394
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Castaneda, DNP, APRN, FNP-CNPI 1366794802
Title
Owner
Phone
(432) 699-2378

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3401 Greenbriar Ste 400
Midland, TX 79707-4653

Mailing address

3401 Greenbriar Ste 400
Midland, TX 79707-4653
Phone (432) 699-2378

Other practice location 1

5608 Drexel Ct
Midland, TX 79707-9103
Phone (432) 853-3119

Other identifiers 1

IdentifierTypeStateIssuer
352429002MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2156582Crossroads Pediatrics, PLLC3401 Greenbriar Suite 400, Midland, TX 79707Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

3401 Greenbriar
Ste 400
Midland, TX 79707
Phone (432) 699-2378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1083198956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GREENBRIAR STE 400",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074653",
            "telephone_number": "432-699-2378",
            "fax_number": "432-699-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GREENBRIAR STE 400",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797074653",
            "telephone_number": "432-699-2378",
            "fax_number": "432-699-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 Drexel Ct",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797079103",
            "country_code": "US",
            "telephone_number": "432-853-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-699-2378",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "352429002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.