Individual provider Active NPI

Joan M Doglio Smith, CNM

  • Advanced Practice Midwife
  • Austin, TX
National Provider Identifier
1477668648
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP107537 Issued in TX
Practice address
4204 Cliffwood CV
Austin, TX 78759-7307
Phone
(512) 968-0749
NPI assigned
Aug 20, 2006
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP107537 TX Primary
Registered Nurse 163W00000X 634639 TX

Addresses

Primary practice location

4204 Cliffwood CV
Austin, TX 78759-7307

Mailing address

4204 Cliffwood CV
Austin, TX 78759-7307
Phone (512) 968-0749

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000681 TX Practitioner - Certified Nurse Midwife (CNM) 0244362283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
634639TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Jan 16, 2017 Accepting new patients
Abundance Midwifery Service Advanced Practice Midwife CurrentSince Apr 16, 2023 Accepting new patients
Abundance Midwifery Service Advanced Practice Midwife CurrentSince Apr 16, 2023 Accepting new patients

Locations

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Organizations & group practices 3

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1477668648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 CLIFFWOOD CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597307",
            "telephone_number": "512-968-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 CLIFFWOOD CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597307",
            "telephone_number": "512-968-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGLIO SMITH",
        "first_name": "JOAN",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP107537",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "634639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.