Individual provider Active NPI

Samantha Eubanks, C.N.M.

  • Advanced Practice Midwife
  • Denton, TX
National Provider Identifier
1811353642
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP129604 Issued in TX
Practice address
2602 Sherwood St
Denton, TX 76209-1187
Phone
(940) 206-5403
NPI assigned
Jan 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP129604 TX Primary

Addresses

Primary practice location

2602 Sherwood St
Denton, TX 76209-1187

Mailing address

551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (830) 258-7288

Other practice location 1

575 Hill Country Dr Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP129604TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TX PLLC Advanced Practice Midwife CurrentSince Oct 19, 2024 Accepting new patients
Seton Family of Doctors CurrentSince May 10, 2021 Accepting new patients
Seton Family of Doctors CurrentSince May 10, 2021 Accepting new patients
Obhg Texas Holdings, P.a. CurrentSince Mar 11, 2021 Accepting new patients

Locations

1120 Raintree Cir
Ste 280
Allen, TX 75013
Phone (214) 383-9356

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

Interoperability endpoints

  • Direct secure messaging: samantha.eubanks.1@23211.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1811353642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286085",
            "telephone_number": "830-258-7288",
            "fax_number": "830-258-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 SHERWOOD ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091187",
            "telephone_number": "940-206-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Hill Country Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "78028",
            "country_code": "US",
            "telephone_number": "830-258-6237",
            "fax_number": "830-315-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-09",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP129604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.