Individual provider Active NPI

Joanna Imperial, CNM

  • Advanced Practice Midwife
  • Brownsville, TX
National Provider Identifier
1083899025
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP108476 Issued in TX
Practice address
191 E Price Rd
Brownsville, TX 78521-3527
Phone
(956) 548-7400
Fax
(956) 621-3689
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 AP108476 TX Primary
Advanced Practice Midwife 367A00000X 566398 TX

Addresses

Primary practice location

191 E Price Rd
Brownsville, TX 78521-3527

Mailing address

191 E Price Rd
Brownsville, TX 78521-3527
Phone (956) 548-7400

Other practice location 1

2230 Haine Dr
Harlingen, TX 78550-8549
Phone (956) 425-4901

Other identifiers 3

IdentifierTypeStateIssuer
8G1343OtherTXMEDICARE PROVIDER NUMBER
735064OtherTXMEDICARE
036798905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000165 TX Practitioner - Certified Nurse Midwife (CNM) 6608895982 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP108476TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Brownsville Community Health Clinic Corporation CurrentSince Jul 18, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 1, 2015 Accepting new patients
Brownsville Community Health Clinic Corporation CurrentSince Jul 18, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Brownsville Community Health Clinic Corporation Past Accepting new patients

Locations

191 E Price Rd
Brownsville, TX 78521
Phone (956) 548-7400

2137 E 22nd St
Brownsville, TX 78521
Phone (956) 548-7400

707 W Sesame Dr
Harlingen, TX 78550
Phone (956) 412-5800

2230 Haine Dr
Harlingen, TX 78550
Phone (956) 425-4901

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: joanna.imperial.p1@direct.bchc.nextgenshare.com

Organizations & group practices 6

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1083899025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-548-7400",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Haine Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508549",
            "country_code": "US",
            "telephone_number": "956-425-4901",
            "fax_number": "956-425-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMPERIAL",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP108476",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "566398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "8G1343",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "735064",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036798905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.