Individual provider Active NPI

Brittani Louise Wilde, CNM

  • Advanced Practice Midwife
  • Fort Worth, TX
National Provider Identifier
1285411751
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
622 Hemphill St
Fort Worth, TX 76104-3179
Phone
(817) 878-2737
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 TX Primary

Addresses

Primary practice location

622 Hemphill St
Fort Worth, TX 76104-3179

Mailing address

2807 Stanley Ave
Fort Worth, TX 76110-2934
Phone (254) 231-2651

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250430001727 TX Practitioner - Certified Nurse Midwife (CNM) 2365968518 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwife & Company PLLC CurrentSince Mar 5, 2025 Accepting new patients

Locations

411 N Washington Ave
Ste 2700
Dallas, TX 75246
Phone (214) 823-7900

1401 Henderson St
Fort Worth, TX 76102
Phone (817) 924-2116

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1285411751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 STANLEY AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102934",
            "telephone_number": "254-231-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043179",
            "telephone_number": "817-878-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "BRITTANI",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.