Individual provider Active NPI

Galyn Renee Lacewell, CPM

  • Midwife
  • New Braunfels, TX
National Provider Identifier
1295164176
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99190 Issued in TX
Practice address
662 Comal Ave
New Braunfels, TX 78130-7631
Phone
(210) 896-2365
Fax
(830) 326-6049
NPI assigned
Nov 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Midwife 176B00000X 99190 TX Primary

Addresses

Primary practice location

662 Comal Ave
New Braunfels, TX 78130-7631

Mailing address

662 Comal Ave
New Braunfels, TX 78130-7631
Phone (210) 896-2365

Other practice location 1

11000 Summer Mdws
Spring Branch, TX 78070-7037
Phone (210) 896-2365

Other identifiers 1

IdentifierTypeStateIssuer
47-3769758OtherTXMIDWIFE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99190TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1295164176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 COMAL AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307631",
            "telephone_number": "210-896-2365",
            "fax_number": "830-326-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 COMAL AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307631",
            "telephone_number": "210-896-2365",
            "fax_number": "830-326-6049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 Summer Mdws",
            "address_purpose": "LOCATION",
            "city": "Spring Branch",
            "state": "TX",
            "postal_code": "780707037",
            "country_code": "US",
            "telephone_number": "210-896-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACEWELL",
        "first_name": "GALYN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWIFE",
            "identifier": "47-3769758",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.