Individual provider Active NPI

Jana Marie Cryan, C.M.N

  • Advanced Practice Midwife
  • Pasadena, TX
National Provider Identifier
1114011053
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
562241 Issued in TX
Practice address
1430 Pasadena Blvd
Pasadena, TX 77502-2414
Phone
(832) 203-5523
Fax
(832) 203-8416
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 562241 TX Primary

Addresses

Primary practice location

1430 Pasadena Blvd
Pasadena, TX 77502-2414

Mailing address

1430 Pasadena Blvd
Suite D
Pasadena, TX 77502-2414
Phone (832) 203-5523

Other identifiers 1

IdentifierTypeStateIssuer
562241OtherTXNURSING LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070202000322 TX Practitioner - Certified Nurse Midwife (CNM) 7618979758 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
562241TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Chca Bayshore LP Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jana.cryan@tx108.digichart.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1114011053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 PASADENA BLVD",
            "address_2": "SUITE D",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022414",
            "telephone_number": "832-203-5523",
            "fax_number": "832-203-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PASADENA BLVD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775022414",
            "telephone_number": "832-203-5523",
            "fax_number": "832-203-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYAN",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "credential": "C.M.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "562241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "562241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.