Individual provider Active NPI

Jennifer Eliabeth Crawford, LM, CPM, CLC

  • Midwife
  • Dallas, TX
National Provider Identifier
1932637113
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99485 Issued in TX
Practice address
4612 Gaston Ave
Dallas, TX 75246-1010
Phone
(214) 699-8659
Fax
(817) 612-3453
NPI assigned
May 31, 2017
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99485 TX Primary
Health Educator 174H00000X NU

Addresses

Primary practice location

4612 Gaston Ave
Dallas, TX 75246-1010

Mailing address

4612 Gaston Ave
Dallas, TX 75246-1010

Other names 1

  • Jennifer Elizabeth Acuna Professional name

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
99485TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Community Birth & Wellness, LLC CurrentSince Oct 20, 2024 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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1932637113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461010",
            "telephone_number": "214-699-8659",
            "fax_number": "817-612-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JENNIFER",
        "middle_name": "ELIABETH",
        "credential": "LM, CPM, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99485",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ACUNA",
            "middle_name": "ELIZABETH",
            "credential": "LM, CPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.