Individual provider Active NPI

Ellen Nicole Labauve, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1821613936
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
V2131 Issued in TX
Practice address
7777 Forest LN Ste D1110
Dallas, TX 75230-2605
Phone
(214) 824-3200
Fax
(214) 824-0541
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X V2131 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste D1110
Dallas, TX 75230-2605

Mailing address

7777 Forest LN Ste 1110
Dallas, TX 75230-2571

Other practice location 1

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 747-4952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028003642 TX Practitioner - Obstetrics/Gynecology 0840612818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical City OB-GYN, PLLC Obstetrics & Gynecology CurrentSince Aug 15, 2024 Accepting new patients
Congenital Heart Surgery Center PLLC PastSince May 19, 2024 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7777 Forest Ln
Ste 1110
Dallas, TX 75230
Phone (214) 824-3200

7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043

7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200

Interoperability endpoints

  • Direct secure messaging: ellen.labauve@txg063.digichart.direct-ci.com
  • Direct secure messaging: ellen.labauve@hca7.eclinicaldirectplus.com

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": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1821613936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 1110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE D1110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302605",
            "telephone_number": "214-824-3200",
            "fax_number": "214-824-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555302",
            "country_code": "US",
            "telephone_number": "409-747-4952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABAUVE",
        "first_name": "ELLEN",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "V2131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.