Individual provider Active NPI

Anna Rebecca Hines, LICENSED MIDWIFE

  • Midwife
  • Dallas, TX
National Provider Identifier
1013436112
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99400 Issued in TX
Practice address
4720 Gaston Ave
Dallas, TX 75246-1014
Phone
(214) 384-9772
Fax
(214) 442-5557
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99400 TX Primary

Addresses

Primary practice location

4720 Gaston Ave
Dallas, TX 75246-1014

Mailing address

4720 Gaston Ave
Dallas, TX 75246-1014
Phone (214) 384-9772

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
99400TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1013436112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461014",
            "telephone_number": "214-384-9772",
            "fax_number": "214-442-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461014",
            "telephone_number": "214-384-9772",
            "fax_number": "214-442-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "ANNA",
        "middle_name": "REBECCA",
        "credential": "LICENSED MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2020; 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.