Active NPI
Heritage Maternity Services
- Midwife
- Bryan, TX
National Provider Identifier
1609647882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erin Reynoso, LM, CPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154016950 | Medicaid | TX | |
| 1801421490 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Bryan, TX
- NPI 1528625605
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.