Active NPI
Danielle Nicole Samuelson, LM, CPM
- Midwife
- Dallas, TX
National Provider Identifier
1437878923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99492
- Practice address
- 3100 Swiss Ave
Dallas, TX 75204-6025 - Phone
- (469) 291-9129
- NPI assigned
- Aug 26, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99492 | TX | Primary |
Addresses
Primary practice location
3100 Swiss Ave
Dallas, TX 75204-6025
Mailing address
3505 Summer Trail CT
Arlington, TX 76016-3128
Phone (817) 584-7533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99492 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1437878923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 SUMMER TRAIL CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760163128",
"telephone_number": "817-584-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SWISS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046025",
"telephone_number": "469-291-9129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "TX",
"license": "99492",
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 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.