Individual provider Active NPI

Christine Mesich, LICENCED MIDWIFE

  • Midwife
  • Austin, TX
National Provider Identifier
1720592694
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99315 Issued in TX
Practice address
4100 Duval Rd Ste 101
Austin, TX 78759-3550
Phone
(512) 346-3224
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 99315 TX Primary

Addresses

Primary practice location

4100 Duval Rd Ste 101
Austin, TX 78759-3550

Mailing address

2900 Forest Meadow Dr
Round Rock, TX 78665-5612
Phone (512) 673-8774

Other practice location 1

1130 Cottonwood Creek Trl # 4
Cedar Park, TX 78613-7861
Phone (512) 900-3832

Other practice location 2

2900 Forest Meadow Dr
Round Rock, TX 78665-5612
Phone (512) 673-8774

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

State licenses

LicenseStateTypeSpecialty
99315TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Area Birthing Center, Inc Single Specialty Past Accepting new patients
Austin Area Birthing Center, Inc Midwife Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720592694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FOREST MEADOW DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655612",
            "telephone_number": "512-673-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "512-346-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cottonwood Creek Trl # 4",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137861",
            "country_code": "US",
            "telephone_number": "512-900-3832",
            "fax_number": "512-673-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Forest Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786655612",
            "country_code": "US",
            "telephone_number": "512-673-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESICH",
        "first_name": "CHRISTINE",
        "credential": "LICENCED MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "TX",
            "license": "99315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.