Active NPI
Labor of Love Birth Center, Inc.
- Birthing Clinic/Center
- Tyler, TX
National Provider Identifier
1568616571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- License
- 008716
- Legal business name
- LABOR OF LOVE BIRTH CENTER, INC.
- Practice address
- 421 S Bonner Ave
Tyler, TX 75702-8034 - Phone
- (903) 526-2600
- Fax
- (903) 526-2605
- NPI assigned
- Nov 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vicky Marie Wells, CPM,LM
- Title
- President/Co-Owner
- Phone
- (903) 526-2600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | 008716 | TX | Primary |
Addresses
Primary practice location
421 S Bonner Ave
Tyler, TX 75702-8034
Mailing address
421 S Bonner Ave
Tyler, TX 75702-8034
Phone (903) 526-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3338055 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
421 S Bonner Ave
Tyler, TX 75702
Phone (903) 526-2600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Tyler, TX
- NPI 1255513792
-
- Lay Midwife
- Tyler, TX
- NPI 1215381793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1568616571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S BONNER AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028034",
"telephone_number": "903-526-2600",
"fax_number": "903-526-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S BONNER AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757028034",
"telephone_number": "903-526-2600",
"fax_number": "903-526-2605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABOR OF LOVE BIRTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-05",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "VICKY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
"authorized_official_telephone_number": "903-526-2600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPM,LM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": "TX",
"license": "008716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3338055",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.