Active NPI
Caitlin Anna Bourne, CPM, LM
- Midwife
- Arlington, TX
National Provider Identifier
1447818778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99382
- Practice address
- 1001 W Randol Mill Rd
Arlington, TX 76012-2513 - Phone
- (907) 378-3735
- NPI assigned
- Jun 2, 2019
- 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 | 99382 | TX | Primary |
Addresses
Primary practice location
1001 W Randol Mill Rd
Arlington, TX 76012-2513
Mailing address
8105 Fox Creek TRL
Dallas, TX 75249-1615
Phone (907) 378-3735
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 |
|---|---|---|---|
| 99382 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559433600000",
"number": "1447818778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8105 FOX CREEK TRL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752491615",
"telephone_number": "907-378-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W RANDOL MILL RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122513",
"telephone_number": "907-378-3735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURNE",
"first_name": "CAITLIN",
"middle_name": "ANNA",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-02",
"last_updated": "2019-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.