Organization Active NPI

Abide Women'S Health Services, Inc.

  • Advanced Practice Midwife
  • Dallas, TX
National Provider Identifier
1154067403
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
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

Updated by the provider on Jun 2, 2025

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)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260624000339 TX Part B Supplier - Clinic/Group Practice 6305319120 Practice locations: Dallas, TX

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
45D2343860Abide Women'S Health Services, Inc2612 Martin Luther King Jr Blvd, Dallas, TX 75215Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.