Basic Information
| Provider Information | |||||||||
| NPI: | 1316981970 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANKLIN | ||||||||
| FirstName: | CRYSTAL | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | CNM | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | |||||||||
| OtherFirstName: | |||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | |||||||||
| OtherLastNameType: | |||||||||
| Mailing Information | |||||||||
| Address1: | 1330 POWELL ST | ||||||||
| Address2: | SUITE 507 | ||||||||
| City: | NORRISTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194013353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102799003 | ||||||||
| FaxNumber: | 6102702654 | ||||||||
| Practice Location | |||||||||
| Address1: | 1500 GALEN ST SE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200204913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2026107166 | ||||||||
| FaxNumber: | 2025488600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/19/2019 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | MW008540L | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
ID Information
| ID | Type | State | Issuer | Description | 8157482 | 01 | PA | CIGNA HMO/PPO | OTHER | 0045359000 | 01 | PA | AMERIHEALTH/INTERCOUNTY | OTHER | 0175050602 | 01 | PA | AMERICHOICE (UHC MA PLAN) | OTHER | 0017505060001 | 05 | PA | MEDICAID | 27073-MW008540L | 01 | PA | HEALTH PARTNERS | OTHER | 7004028 | 01 | PA | AETNA PPO | OTHER | 9058067 | 01 | PA | PHCS | OTHER | 0045359000 | 01 | PA | IBC - PC/KHPE | OTHER | 1101561 | 01 | PA | KEYSTONE MERCY | OTHER | 2290672 | 01 | PA | AETNA HMO | OTHER | 420000749 | 01 | PA | RRM | OTHER | 480722 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER |