Denise Lynn Nastrolia, CPM, LM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

License

05005 Issued in TX

Practice address

2201 Crestwood Dr
Tyler, TX 75701-6006

Phone

(903) 566-6919

Fax

(903) 566-6919

NPI assigned

Dec 31, 2007

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 names 1

• Mrs. Denise Lynn Thompson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1265617922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CRESTWOOD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016006",
            "telephone_number": "903-566-6919",
            "fax_number": "903-566-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CRESTWOOD DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016006",
            "telephone_number": "903-566-6919",
            "fax_number": "903-566-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASTROLIA",
        "first_name": "DENISE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "TX",
            "license": "05005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "THOMPSON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "CPM, LM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Lay Midwife in Tyler, TX
• Providers in Tyler, TX by specialty
• Lay Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.