Active NPI
Patricia P. Krach, CNM
- Advanced Practice Midwife
- Dallas, TX
National Provider Identifier
1386700532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 549558
- Practice address
- 5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708 - Phone
- (214) 590-5306
- Fax
- (214) 590-2798
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 549558 | TX | Primary |
Addresses
Primary practice location
5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126653806 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081203000122 | TX | Practitioner - Certified Nurse Midwife (CNM) | 5496816936 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 549558 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Advanced Practice Midwife | Current | Accepting new patients |
| Dallas County Hospital District | Advanced Practice Midwife | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- pkrach720@direct.phhs.org
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.
-
- Nurse Practitioner
- Dallas, TX
- NPI 1134377427
Advanced Practice Midwife
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
Advanced Practice Midwife
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1386700532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD",
"address_2": "WISH TUBAL CLINIC",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357708",
"telephone_number": "214-590-5306",
"fax_number": "214-590-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRACH",
"first_name": "PATRICIA",
"middle_name": "P.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "549558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126653806",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.