Individual provider Active NPI

Leighah Mago, CPM, LM

  • Midwife
  • Hurst, TX
National Provider Identifier
1619584349
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99397 Issued in TX
Practice address
1726 Chadwick CT
Hurst, TX 76054-3318
Phone
(817) 510-6662
Fax
(817) 280-9962
NPI assigned
Sep 27, 2020
Last updated
Sep 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99397 TX Primary

Addresses

Primary practice location

1726 Chadwick CT
Hurst, TX 76054-3318

Mailing address

1073 Easy St
Grapevine, TX 76051-4130
Phone (408) 712-8901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
99397TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Midwifery Midwife CurrentSince Nov 15, 2020 Accepting new patients

Locations

1726 Chadwick Ct
Hurst, TX 76054
Phone (817) 510-6662

Organizations & group practices 1

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": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1619584349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 EASY ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514130",
            "telephone_number": "408-712-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 CHADWICK CT",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543318",
            "telephone_number": "817-510-6662",
            "fax_number": "817-280-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGO",
        "first_name": "LEIGHAH",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.