Jennifer Crumm, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

7801 Oakmont Blvd
Ste 101
Ft Worth, TX 76132-4204

Phone

(817) 263-0007

Fax

(817) 263-1118

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jennifer.crumm.p5@direct.emm.nextgenshare.com
• Direct secure messaging: jennifer.crumm@direct.emm.nextgenshare.com

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1679902134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OAKMONT BLVD",
            "address_2": "STE 101",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324204",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OAKMONT BLVD",
            "address_2": "STE 101",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761324204",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMM",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crown Healthcare Agency LLC
• Crown Medical Transportation LLC
• Stacy Sue Crownover, PMHNP
• Haley Crudgington
• Travis Wolfe Crudup, M.D.
• Lauren N Crumm, PA-C
• Cade Crump, MD
• Tara Crumpton
• Brittany Cruse, LCSW
• Blanca E. Cruz Escalante, RN

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.