NPIMap

Organization Active NPI

Ennis Midwifery LLC

  • Midwife
  • Ennis, TX
National Provider Identifier
1124641659
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
ENNIS MIDWIFERY LLC
Practice address
2507 Park St
Ennis, TX 75119-7650
Phone
(469) 688-8161
Fax
(972) 449-1048
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Gretchen Ann Ort, LMNPI 1174016869
Title
Owner Midwife
Phone
(469) 688-8161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

2507 Park St
Ennis, TX 75119-7650

Mailing address

2507 Park St
Ennis, TX 75119-7650
Phone (469) 688-8161

National Provider Directory

National Provider Directory

Locations

2507 Park St
Ennis, TX 75119
Phone (469) 688-8161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1124641659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 PARK ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751197650",
            "telephone_number": "469-688-8161",
            "fax_number": "972-449-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 PARK ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751197650",
            "telephone_number": "469-688-8161",
            "fax_number": "972-449-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "ORT",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER MIDWIFE",
        "authorized_official_telephone_number": "469-688-8161",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.