Individual provider Active NPI

Stephanie Faye Palacio, CNM

  • Advanced Practice Midwife
  • Houston, TX
National Provider Identifier
1245645753
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP125828 Issued in TX
Practice address
8453 Howard Dr Ste B
Houston, TX 77017-4731
Phone
(713) 472-5525
Fax
(855) 472-3600
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 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 AP125828 TX Primary

Addresses

Primary practice location

8453 Howard Dr Ste B
Houston, TX 77017-4731

Mailing address

8453 Howard Dr Ste B
Houston, TX 77017-4731
Phone (713) 472-5255

Other identifiers 1

IdentifierTypeStateIssuer
393632001MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Community Birth Center PLLC Advanced Practice Midwife CurrentSince Jul 1, 2019 Accepting new patients
Our Community Midwives CurrentSince Jan 28, 2024 Accepting new patients

Locations

8453 Howard Dr
Ste B
Houston, TX 77017
Phone (713) 472-5255

3210 Strawberry Rd
Pasadena, TX 77504
Phone (713) 472-5525

Organizations & group practices 2

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1245645753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8453 HOWARD DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770174731",
            "telephone_number": "713-472-5255",
            "fax_number": "855-472-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8453 HOWARD DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770174731",
            "telephone_number": "713-472-5525",
            "fax_number": "855-472-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "STEPHANIE",
        "middle_name": "FAYE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP125828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393632001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.