Active NPI
Jacinta Dela Cruz
- Physician Assistant
- Terre Haute, IN
National Provider Identifier
1841937786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10003608A
- Practice address
- 1310 E Davis Dr
Terre Haute, IN 47802-4034 - Phone
- (812) 232-7337
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10003608A | IN | Primary |
Addresses
Primary practice location
1310 E Davis Dr
Terre Haute, IN 47802-4034
Mailing address
1310 E Davis Dr
Terre Haute, IN 47802-4034
Phone (812) 232-7337
Other names 1
- Ms. Jacinta Vasco-Delacruz
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003608A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Child and Adolescent Specialty Group, P.C. | Past | Accepting new patients |
Interoperability endpoints
- jacinta.dela-cruz.1@26578.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Terre Haute, IN
- NPI 1588605349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1841937786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024034",
"telephone_number": "812-232-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 E DAVIS DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478024034",
"telephone_number": "812-232-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELA CRUZ",
"first_name": "JACINTA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003608A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACINTA",
"last_name": "VASCO-DELACRUZ",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.