Individual provider Active NPI

Tania Lopez, CNM

  • Advanced Practice Midwife
  • Fort Worth, TX
National Provider Identifier
1861408775
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
597529 Issued in TX
Practice address
855 Montgomery St
Fort Worth, TX 76107-2553
Phone
(817) 735-2363
Fax
(817) 702-6561
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 597529 TX Primary

Addresses

Primary practice location

855 Montgomery St
Fort Worth, TX 76107-2553

Mailing address

855 Montgomery St
Fort Worth, TX 76107-2553
Phone (817) 735-2363

Other identifiers 2

IdentifierTypeStateIssuer
177150301MedicaidTX
8N9742OtherTXBCBS

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000493 TX Practitioner - Certified Nurse Midwife (CNM) 0840219937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatrix Medical Group of Texas Billing IncGroup PAC ID 0042283921, 36 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone 80024338397746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
597529TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Texas Billing, Inc. CurrentSince Dec 1, 2024 Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. CurrentSince Feb 1, 2019 Accepting new patients
University of North Texas Health Science Center at Fort Worth Advanced Practice Midwife Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

411 N Washington Ave
Ste 6400
Dallas, TX 75246
Phone (214) 826-3681

10840 Texas Health Trl
Ste 210
Fort Worth, TX 76244
Phone (817) 540-1157

6100 Harris Pkwy
Ste 295
Fort Worth, TX 76132
Phone (817) 878-5298

1250 8th Ave
Ste 225
Fort Worth, TX 76104
Phone (817) 922-9237

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

1631 Lancaster Dr
Ste 320
Grapevine, TX 76051
Phone (214) 915-8502

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

2800 E Broad St
Ste 214
Mansfield, TX 76063
Phone (682) 885-2500

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

4412 Kell Blvd
Wichita Falls, TX 76309
Phone (940) 696-0011

Organizations & group practices 5

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1861408775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 MONTGOMERY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072553",
            "telephone_number": "817-735-2363",
            "fax_number": "817-702-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TANIA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "597529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177150301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N9742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.