Johanna Congleton Bodine, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM1795 Issued in TX

Practice address

411 N Washington Ave Ste 2700
Dallas, TX 75246-1735

Phone

(214) 975-3937

NPI assigned

Jan 11, 2014

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Johanna Congleton Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcjcongl@yourcarecommunity.org

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.

• Midwife & Company PLLC

  • Obstetrics & Gynecology Physician
  • Fort Worth, TX
  • NPI 1407517808
  Medicare reassignment NPD
• Johanna Congleton, CNM, PA

  • Advanced Practice Midwife
  • Dallas, TX
  • NPI 1447672357
  NPD (past)

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184046096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 2700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461735",
            "telephone_number": "214-975-3937",
            "fax_number": "469-309-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 2700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461735",
            "telephone_number": "214-975-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE",
        "first_name": "JOHANNA",
        "middle_name": "CONGLETON",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "CNM1795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345080101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP124942",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE #",
            "identifier": "744687",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX AUTH #",
            "identifier": "15228",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "CONGLETON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Litza Christina Bodden, LPC
• Sreenand Boddu
• Michael Bodenheimer
• Pradeep Bodige, D.O.
• Evan Bodine, PH.D.
• Artur Bodnar, MD
• John Philip Bodnar
• Patrick Bodnar, D.C.
• Jason Bodner
• Amanda Lea Bodwell, DNP, RN, CPNP

• Advanced Practice Midwife in Dallas, TX
• Providers in Dallas, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.