Individual provider Active NPI

Michelle Kay McKenna, DNP, ARNP, CNM

  • Advanced Practice Midwife
  • Fort Worth, TX
National Provider Identifier
1598258683
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1186586 Issued in TX
Practice address
1300 W Terrell Ave Ste 320
Fort Worth, TX 76104-2822
Phone
(817) 250-7360
Fax
(817) 250-0125
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 AP60856999 WA
Advanced Practice Midwife 367A00000X 1186586 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave Ste 320
Fort Worth, TX 76104-2822

Mailing address

2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone (904) 542-7419

Other practice location 1

2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone (904) 542-7419

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
I20250602000667 TX Practitioner - Certified Nurse Midwife (CNM) 3577072610 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60856999WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince May 19, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2025 Accepting new patients
Texas Health Physicians Group Current Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

1120 Raintree Cir
Ste 280
Allen, TX 75013
Phone (214) 383-9356

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1300 W Terrell Ave
Ste 320
Fort Worth, TX 76104
Phone (817) 250-7360

1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240

Interoperability endpoints

  • Direct secure messaging: mmckenna2649790@direct.texashealth.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1598258683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST DEPT 5000",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145000",
            "telephone_number": "904-542-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE 320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042822",
            "telephone_number": "817-250-7360",
            "fax_number": "817-250-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Child St Dept 5000",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322145000",
            "country_code": "US",
            "telephone_number": "904-542-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60856999",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1186586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.