Active NPI
Abide Women'S Health Services, Inc.
- Advanced Practice Midwife
- Dallas, TX
National Provider Identifier
1154067403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- ABIDE WOMEN'S HEALTH SERVICES, INC.
- Practice address
- 2612 Martin Luther King Jr Blvd
Dallas, TX 75215-2309 - Phone
- (972) 474-6311
- Fax
- (940) 220-6021
- NPI assigned
- May 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cessilye Smith
- Title
- Executive Director
- Phone
- (972) 474-6311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
2612 Martin Luther King Jr Blvd
Dallas, TX 75215-2309
Mailing address
PO Box 152243
Dallas, TX 75315-2243
Phone (972) 474-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260624000339 | TX | Part B Supplier - Clinic/Group Practice | 6305319120 | Practice locations: Dallas, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2343860 | Abide Women'S Health Services, Inc | Certificate of waiver | May 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
2612 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (972) 474-6311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Dallas, TX
- NPI 1174443709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748822400000",
"number": "1154067403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152243",
"city": "DALLAS",
"state": "TX",
"postal_code": "753152243",
"telephone_number": "972-474-6311",
"fax_number": "940-220-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 MARTIN LUTHER KING JR BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752152309",
"telephone_number": "972-474-6311",
"fax_number": "940-220-6021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIDE WOMEN'S HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-10",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CESSILYE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "972-474-6311",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.