Individual provider Active NPI

Tayla Marie Ward, CPM

  • Midwife
  • Blossom, TX
National Provider Identifier
1790564334
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CPM23060245 Issued in NU
Practice address
410 Sunset St
Blossom, TX 75416-2743
Phone
(940) 535-4989
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CPM23060245 NU Primary

Addresses

Primary practice location

410 Sunset St
Blossom, TX 75416-2743

Mailing address

410 Sunset St
Blossom, TX 75416-2743
Phone (940) 535-4989

Other names 1

  • Tayla Marie Ward Peters Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1790564334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SUNSET ST",
            "city": "BLOSSOM",
            "state": "TX",
            "postal_code": "754162743",
            "telephone_number": "940-535-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SUNSET ST",
            "city": "BLOSSOM",
            "state": "TX",
            "postal_code": "754162743",
            "telephone_number": "940-535-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "TAYLA",
        "middle_name": "MARIE",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": "CPM23060245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLA",
            "last_name": "PETERS",
            "middle_name": "MARIE WARD",
            "credential": "CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blossom, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.