Adelle Deborah Dishaw, C.N.M.,M.S.N.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

631819 Issued in TX

Practice address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2371

Phone

(903) 572-2957

Fax

(903) 572-0696

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Titus County Hospital District

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881
  NPD (past)
• Titus County Hospital District

  • Medical Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1841721016
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1699880641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-572-2957",
            "fax_number": "903-572-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552371",
            "telephone_number": "903-572-2957",
            "fax_number": "903-572-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHAW",
        "first_name": "ADELLE",
        "middle_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "C.N.M.,M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00042001",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "631819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140863505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140863504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Deal, DPT, PT
• Decker Vision Group
• Larry W. Decker, O.D.
• Craig Martin Delisi, M.D.
• Charla Lambert Denman, FNP-BC, NP-C
• John David Dixon, RN
• Jamie Lea Doan, LPC
• Merlin Daniel Doepner, NP
• Dominique Spigner, LLC
• Dove Emergency Physicians PLLC

• All providers in Mount Pleasant, TX
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.