Individual provider Active NPI

Maeve Northcross, CPM, LM

  • Midwife
  • Fort Worth, TX
National Provider Identifier
1821354986
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99148 Issued in TX
Practice address
9804 McFarring Dr
Fort Worth, TX 76244-5898
Phone
(817) 629-0722
Fax
(512) 870-9232
NPI assigned
Apr 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99148 TX Primary

Addresses

Primary practice location

9804 McFarring Dr
Fort Worth, TX 76244-5898

Mailing address

9804 McFarring Dr
Fort Worth, TX 76244-5898
Phone (817) 629-0722

Other names 1

  • Ms. Jenee Marleen Ohrvall Former 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

State licenses

LicenseStateTypeSpecialty
99148TXMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1821354986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 MCFARRING DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445898",
            "telephone_number": "817-629-0722",
            "fax_number": "512-870-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 MCFARRING DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445898",
            "telephone_number": "817-629-0722",
            "fax_number": "512-870-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCROSS",
        "first_name": "MAEVE",
        "name_prefix": "Ms.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENEE",
            "last_name": "OHRVALL",
            "middle_name": "MARLEEN",
            "prefix": "MS.",
            "credential": "CPM, LM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.