Active NPI
Breona Lashawn Black, CNM
- Advanced Practice Midwife
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1060449
- Practice address
- 6609 Virginia Pkwy
McKinney, TX 75071-5513 - Phone
- (972) 542-8884
- NPI assigned
- Nov 24, 2021
- Last updated
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 926806 | TX | MD | Inpatient Obstetric Registered Nurse |
| 1060449 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Current | Accepting new patients | |
| Longview Wellness Center Inc | Current | 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 | Current | Accepting new patients | |
| Unified Women's Healthcare of Texas PLLC | Current | Accepting new patients | |
| Longview Wellness Center Inc | Past | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Addison, TX
- NPI 1952703373
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1942269493
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1255137659
-
- Specialist
- Plano, TX
- NPI 1336279116
-
- Specialist
- Plano, TX
- NPI 1528198397
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
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
- Bio-Medical Applications of Texas, Inc. (FMC Dialysis Services McKinney)
- Bionurture PLLC (BioOptum)
- Maria Bird-West Wheeler, M ED., BCBA, LBA
- Trina Bivens, M.D.
- BJ Healthcare Solutions
- Lisa Lynn Black, LM,CPM
- Sheena Rachel Black, MD
- Mesha J Blackmon, RBT
- Blackwell Advisory Group LLC
- Billye Blackwell, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.