Organization Active NPI

Plano Birth Place

  • Birthing Clinic/Center
  • Plano, TX
National Provider Identifier
1083158141
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
PLANO BIRTH PLACE
Practice address
5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Phone
(469) 912-0727
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Jeannine Watson Tate,, MSN, RN, CNM
Title
Owner/Certified Nurse Midwife
Phone
(469) 912-0727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

5172 Village Creek Dr Ste 101
Plano, TX 75093-4444

Mailing address

5172 Village Creek Dr Ste 101
Plano, TX 75093-4444
Phone (469) 912-0727

Other names 1

  • Plano Birthplace Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2143587Plano Birthplace5172 Village Creek Dr #101, Plano, TX 75093Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

5172 Village Creek Dr
Ste 101
Plano, TX 75093
Phone (214) 308-1407

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1083158141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934444",
            "telephone_number": "469-912-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934444",
            "telephone_number": "469-912-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO BIRTH PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "TATE,",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER/CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "469-912-0727",
        "authorized_official_credential": "MSN, RN,  CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plano Birthplace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.