Kim S Retherford, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99064 Issued in TX

Practice address

3170 Ganzer Rd W
Denton, TX 76207-4467

Phone

(940) 368-2401

Fax

(940) 204-5588

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1710131396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 GANZER RD W",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762074467",
            "telephone_number": "940-368-2401",
            "fax_number": "940-204-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 GANZER RD W",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762074467",
            "telephone_number": "940-368-2401",
            "fax_number": "940-204-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETHERFORD",
        "first_name": "KIM",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Center of North Denton, LLLP
• Rodney Rencher, APRN, FNP-C
• Joseph Stanley Restivo, DO
• Katherine Teresa Restivo, SLP-ASSISTANT
• Restore Brain, PLLC
• Amanda Reuter, DMD
• Ana Guadalupe Reyes, LPC
• Hector Reyes III, DC
• Rogelio Reyes
• Carmen Denise Reynolds, AGACNP

• Midwife in Denton, TX
• Providers in Denton, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.