Individual provider Active NPI

Jennifer Anne Rockhold, CNM

  • Advanced Practice Midwife
  • Irving, TX
National Provider Identifier
1295343572
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1016430 Issued in TX
Practice address
3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675
Phone
(972) 256-3700
Fax
(866) 630-6348
NPI assigned
Jul 22, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 795536 TX
Advanced Practice Midwife 367A00000X 1016430 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675

Mailing address

PO Box 612526
Dallas, TX 75261-2526
Phone (972) 256-3700

Other names 1

  • Jennifer Anne Hawthorne Former name

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
I20201110000771 TX Practitioner - Certified Nurse Midwife (CNM) 5496165029 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
795536TXMDRegistered Nurse
1016430TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Feb 4, 2022 Accepting new patients
Macarthur Medical Center, PLLC Advanced Practice Midwife CurrentSince Nov 2, 2020 Accepting new patients
Macarthur Medical Center, PLLC Advanced Practice Midwife CurrentSince Nov 2, 2020 Accepting new patients
Women's Integrated Healthcare, P.a. Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2101 Westpark Ct
Ste 200
Euless, TX 76040

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

3501 N MacArthur Blvd
Ste 365
Irving, TX 75062

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

3501 N MacArthur Blvd
Ste 600
Irving, TX 75062
Phone (214) 648-6250

7200 State Highway 161
Ste 130
Irving, TX 75039
Phone (214) 838-2323

245 W State Highway 114
Ste 330
Southlake, TX 76092
Phone (817) 416-2229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8654/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1295343572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612526",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752612526",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKHOLD",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "795536",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1016430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAWTHORNE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.