Individual provider Active NPI

Amy Elizabeth Mohon Bengfort

  • Advanced Practice Midwife
  • Arlington, TX
National Provider Identifier
1174236228
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1095292 Issued in TX
Practice address
3201 Matlock Rd Ste 210
Arlington, TX 76015-2946
Phone
(817) 468-4689
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1095292 TX Primary

Addresses

Primary practice location

3201 Matlock Rd Ste 210
Arlington, TX 76015-2946

Mailing address

3201 Matlock Rd Ste 210
Arlington, TX 76015-2946
Phone (817) 468-4689

Other practice location 1

218 S Windomere Ave
Dallas, TX 75208-5818
Phone (936) 203-0357

Other practice location 2

3141 E Broad St Ste 321
Mansfield, TX 76063-6439
Phone (817) 468-4689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1174236228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 MATLOCK RD STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152946",
            "telephone_number": "817-468-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MATLOCK RD STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152946",
            "telephone_number": "817-468-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 S Windomere Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752085818",
            "country_code": "US",
            "telephone_number": "936-203-0357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3141 E Broad St Ste 321",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636439",
            "country_code": "US",
            "telephone_number": "817-468-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHON BENGFORT",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1095292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.