Individual provider Active NPI

Meredith Jefferson, CNM

  • Advanced Practice Midwife
  • Houston, TX
National Provider Identifier
1194432583
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1091401 Issued in TX
Practice address
13930 Bellaire Blvd
Houston, TX 77083-1719
Phone
(713) 773-0803
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 1091401 TX Primary

Addresses

Primary practice location

13930 Bellaire Blvd
Houston, TX 77083-1719

Mailing address

13930 Bellaire Blvd
Houston, TX 77083-1719
Phone (713) 773-0803

Other practice location 1

6651 Main St Ste 1500
Houston, TX 77030-2351
Phone (713) 797-1144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216001158 TX Practitioner - Certified Nurse Midwife (CNM) 5991174716 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1091401TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Asian American Health Coalition of the Greater Houston Area CurrentSince Jan 8, 2024 Accepting new patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients
Texas Children'S Physician Group CurrentSince Dec 6, 2022 Accepting new patients
Asian American Health Coalition of the Greater Houston Area Current Accepting new patients

Locations

6651 Main St
Ste 1500
Houston, TX 77030
Phone (713) 797-1144

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1194432583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831719",
            "telephone_number": "713-773-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831719",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6651 Main St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302351",
            "country_code": "US",
            "telephone_number": "713-797-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MEREDITH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-01-10",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1091401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.