Individual provider Active NPI

Heather Lynn Caudell, RN, CNM

  • Midwife
  • Lewisville, TX
National Provider Identifier
1386630333
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
328 W Main St
Lewisville, TX 75057-3866
Phone
(972) 436-7557
Fax
(972) 221-8246
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

328 W Main St
Lewisville, TX 75057-3866

Mailing address

328 W Main St
Lewisville, TX 75057-3866
Phone (972) 436-7557

Other identifiers 1

IdentifierTypeStateIssuer
178167601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • 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
I20051109000741 TX Practitioner - Certified Nurse Midwife (CNM) 1456379353 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas OB GYN Associates CurrentSince Mar 1, 2024 Accepting new patients
Lewisville Obstetrics & Gynecology Associates, PA CurrentSince Sep 11, 2015 Accepting new patients
Lewisville Obstetrics & Gynecology Associates. P.a. CurrentSince Sep 11, 2015 Accepting new patients
Columbia Medical Center of Lewisville Subsidiary LP Past Accepting new patients

Locations

3101 Churchill Dr
Ste 220
Flower Mound, TX 75022
Phone (888) 502-2506

500 W Main St
Ste 310
Lewisville, TX 75057
Phone (972) 420-1470

328 W Main St
Lewisville, TX 75057
Phone (972) 436-7557

Organizations & group practices 4

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1386630333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-436-7557",
            "fax_number": "972-221-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-436-7557",
            "fax_number": "972-221-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178167601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.