Active NPI
Shani Renee Daniels Van Patten, CPM
- Midwife
- Humble, TX
National Provider Identifier
1639768393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 1707 FM 1960 Bypass Rd E Ste D
Humble, TX 77338-3955 - Phone
- (832) 558-4893
- NPI assigned
- Jan 15, 2021
- Last updated
- Jan 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
1707 FM 1960 Bypass Rd E Ste D
Humble, TX 77338-3955
Mailing address
26819 Twilight Grove LN
Cypress, TX 77433-1627
Phone (832) 928-1869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | TX | 0 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwife@thejourneybirthservices.com | Direct |
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
Organizations & group practices 2
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": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1639768393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26819 TWILIGHT GROVE LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774331627",
"telephone_number": "832-928-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 FM 1960 BYPASS RD E STE D",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773383955",
"telephone_number": "832-558-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS VAN PATTEN",
"first_name": "SHANI",
"middle_name": "RENEE",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwife@thejourneybirthservices.com",
"affiliation": "N",
"endpointDescription": "Mobile Midwife",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mobile Midwife",
"address_1": "1707 Fm 1960 Bypass Rd E Ste D",
"city": "Humble",
"state": "TX",
"country_code": "US",
"postal_code": "773383955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.