Organization Active NPI

Heritage Maternity Services

  • Midwife
  • Bryan, TX
National Provider Identifier
1609647882
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
HERITAGE MATERNITY SERVICES
Practice address
10387 Taylor Rd
Bryan, TX 77808-4139
Phone
(979) 571-4490
Fax
(979) 318-3477
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Mrs. Erin Reynoso, LM, CPMNPI 1528625605
Title
Founder/ Director
Phone
(979) 571-4490

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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

10387 Taylor Rd
Bryan, TX 77808-4139

Mailing address

10387 Taylor Rd
Bryan, TX 77808-4139
Phone (979) 571-4490

Other identifiers 2

IdentifierTypeStateIssuer
1154016950MedicaidTX
1801421490MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1609647882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10387 TAYLOR RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778084139",
            "telephone_number": "979-571-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10387 TAYLOR RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778084139",
            "telephone_number": "979-571-4490",
            "fax_number": "979-318-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MATERNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "FOUNDER/ DIRECTOR",
        "authorized_official_telephone_number": "979-571-4490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154016950",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801421490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.