Individual provider Active NPI

Martha Kay Deming, RN, MSN,CNM

  • Advanced Practice Midwife
  • Bogata, TX
National Provider Identifier
1467479170
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
233995 Issued in TX
Practice address
106 2ND St NW
Bogata, TX 75417-2451
Phone
(903) 632-0078
Fax
(903) 632-1825
NPI assigned
Jul 17, 2006
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 233995 TX Primary

Addresses

Primary practice location

106 2ND St NW
Bogata, TX 75417-2451

Mailing address

3571 County Road NE 2110
Talco, TX 75487-4835
Phone (903) 379-3283

Other identifiers 3

IdentifierTypeStateIssuer
036605602MedicaidTX
36605601MedicaidTX
87N757OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20080625000559 TX Practitioner - Certified Nurse Midwife (CNM) 3870664436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
233995TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
ML Palmer, PLLC; Dba: Bogata Health Clinic CurrentSince Jul 18, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1467479170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 COUNTY ROAD NE 2110",
            "city": "TALCO",
            "state": "TX",
            "postal_code": "754874835",
            "telephone_number": "903-379-3283",
            "fax_number": "903-572-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 2ND ST NW",
            "city": "BOGATA",
            "state": "TX",
            "postal_code": "754172451",
            "telephone_number": "903-632-0078",
            "fax_number": "903-632-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMING",
        "first_name": "MARTHA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN,CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "233995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036605602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36605601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87N757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogata, TX

Sources for this page

Verify at the official NPI Registry.