Individual provider Active NPI

Andrea Bonnie Dorwart Crane, RN, CNM

  • Advanced Practice Midwife
  • Irvine, CA
National Provider Identifier
1942578927
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1979 Issued in CA
Practice address
4650 Barranca Pkwy
Irvine, CA 92604-4733
Phone
(949) 654-2727
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1979 CA Primary
Registered Nurse 163W00000X 808203 CA

Addresses

Primary practice location

4650 Barranca Pkwy
Irvine, CA 92604-4733

Mailing address

4650 Barranca Pkwy
Irvine, CA 92604-4733
Phone (949) 654-2727

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)
Enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
808203CAMDRegistered Nurse
1979CAMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Midwifery & Women's Health Care Advanced Practice Midwife 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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1942578927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044733",
            "telephone_number": "949-654-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044733",
            "telephone_number": "949-654-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWART CRANE",
        "first_name": "ANDREA",
        "middle_name": "BONNIE",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1979",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "808203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.