Individual provider Active NPI

Shani Renee Daniels Van Patten, CPM

  • Midwife
  • Humble, TX
National Provider Identifier
1639768393
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0OtherTX0

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.