Individual provider Active NPI

Heather N Carmody, MIDWIFE

  • Midwife
  • Tyler, TX
National Provider Identifier
1306113527
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99453 Issued in TX
Practice address
514 S Fannin Ave
Tyler, TX 75702-8203
Phone
(903) 803-2229
Fax
(903) 385-4195
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99453 TX Primary
Doula 374J00000X

Addresses

Primary practice location

514 S Fannin Ave
Tyler, TX 75702-8203

Mailing address

514 S Fannin Ave
Tyler, TX 75702-8203
Phone (903) 803-2229

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99453TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Rose City Birth Center Current Accepting new patients
Bright Blessings Midwifery, LLC Lactation Consultant, Non-RN CurrentSince Oct 1, 2021 Accepting new patients
Rose City Midwifery and Wellness, Inc Midwife Current Accepting new patients

Locations

1101 E Southeast Loop 323
Ste 220
Tyler, TX 75701

514 S Fannin Ave
Tyler, TX 75702
Phone (903) 630-9170

844 S Fleishel Ave
Tyler, TX 75701
Phone (903) 595-1811

Organizations & group practices 3

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1306113527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S FANNIN AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028203",
            "telephone_number": "903-803-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S FANNIN AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028203",
            "telephone_number": "903-803-2229",
            "fax_number": "903-385-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99453",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.