Organization Active NPI

The Odessa Birth Center, PLLC

  • Advanced Practice Midwife
  • Odessa, TX
National Provider Identifier
1700615259
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
THE ODESSA BIRTH CENTER, PLLC
Practice address
600 N Washington Ave Ste B
Odessa, TX 79761-4436
Phone
(432) 363-4407
Fax
(432) 224-1442
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Misty Long, MSN, APRN, CNMNPI 1659097244
Title
Owner
Phone
(432) 363-4407

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)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

600 N Washington Ave Ste B
Odessa, TX 79761-4436

Mailing address

600 N Washington Ave Ste B
Odessa, TX 79761-4436
Phone (432) 363-4407

Other names 1

  • Odessa Birth & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Odessa Birth Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1700615259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON AVE STE B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614436",
            "telephone_number": "432-363-4407",
            "fax_number": "432-224-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON AVE STE B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614436",
            "telephone_number": "432-363-4407",
            "fax_number": "432-224-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ODESSA BIRTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-363-4407",
        "authorized_official_credential": "MSN, APRN, CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Birth & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.