Individual provider Active NPI

Jennifer Marie Chrisman, LM,CPM

  • Midwife
  • Commerce, TX
National Provider Identifier
1144715814
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99338 Issued in TX
Practice address
4083 County Road 4509
Commerce, TX 75428-5243
Phone
(214) 697-3064
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99338 TX Primary

Addresses

Primary practice location

4083 County Road 4509
Commerce, TX 75428-5243

Mailing address

4083 County Road 4509
Commerce, TX 75428-5243
Phone (214) 697-3064

Other practice location 1

2302 Joe Ramsey Blvd E
Greenville, TX 75401-6474
Phone (214) 697-3064

Other identifiers 1

IdentifierTypeStateIssuer
20901746OtherTXDRIVERS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99338TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Seedling Births LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1144715814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 COUNTY ROAD 4509",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754285243",
            "telephone_number": "214-697-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 COUNTY ROAD 4509",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754285243",
            "telephone_number": "214-697-3064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 Joe Ramsey Blvd E",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754016474",
            "country_code": "US",
            "telephone_number": "214-697-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LM,CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "20901746",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.