Individual provider Active NPI

Breona Lashawn Black, CNM

  • Advanced Practice Midwife
  • McKinney, TX
National Provider Identifier
1598422578
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1060449 Issued in TX
Practice address
6609 Virginia Pkwy
McKinney, TX 75071-5513
Phone
(972) 542-8884
NPI assigned
Nov 24, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 1060449 TX Primary
Inpatient Obstetric Registered Nurse 163WX0003X 926806 TX

Addresses

Primary practice location

6609 Virginia Pkwy
McKinney, TX 75071-5513

Mailing address

844 19TH St SE
Paris, TX 75460-7515
Phone (903) 491-6563

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
I20211220000131 TX Practitioner - Certified Nurse Midwife (CNM) 0446641849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Womens Healthcare of Texas PLLCGroup PAC ID 4385944230, 180 clinicians

Practice addresses (Care Compare)

6609 Virginia Pkwy
McKinney, TX 75071-5513
Phone (972) 542-8884

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
926806TXMDInpatient Obstetric Registered Nurse
1060449TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Longview Wellness Center Inc CurrentSince May 29, 2025 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Longview Wellness Center, Inc CurrentSince May 29, 2025 Accepting new patients
Unified Women's Healthcare of Texas PLLC CurrentSince Dec 15, 2021 Accepting new patients
Longview Wellness Center Inc PastSince Jan 2, 2022 Accepting new patients

Locations

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

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177

6609 Virginia Pkwy
McKinney, TX 75071
Phone (972) 542-8884

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: breona.black.1@11541.direct.athenahealth.com

Organizations & group practices 7

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1598422578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 19TH ST SE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754607515",
            "telephone_number": "903-491-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715513",
            "telephone_number": "972-542-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BREONA",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1060449",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "TX",
            "license": "926806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.