Active NPI
Joyce Boden Nelson, CNM
- Advanced Practice Midwife
- Lindale, TX
National Provider Identifier
1437243185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP119282
- Practice address
- 11271 County Road 4102
Lindale, TX 75771-7219 - Phone
- (214) 793-4708
- Fax
- (214) 807-0194
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP119282 | TX | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | AP119282 | TX | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP119282 | TX |
Addresses
Primary practice location
11271 County Road 4102
Lindale, TX 75771-7219
Mailing address
333 E. Centerville Rd.
Garland, TX 75041-4624
Phone (972) 278-2229
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP119282 | TX | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1437243185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E. CENTERVILLE RD.",
"city": "GARLAND",
"state": "TX",
"postal_code": "750414624",
"telephone_number": "972-278-2229",
"fax_number": "972-278-9065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11271 COUNTY ROAD 4102",
"city": "LINDALE",
"state": "TX",
"postal_code": "757717219",
"telephone_number": "214-793-4708",
"fax_number": "214-807-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JOYCE",
"middle_name": "BODEN",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "AP119282",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP119282",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "TX",
"license": "AP119282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.