Individual provider Active NPI

Teri Michelle Mitchell, APRN, CNM, IBCLC

  • Advanced Practice Midwife
  • Frisco, TX
National Provider Identifier
1861892390
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP126152 Issued in TX
Practice address
8501 Wade Blvd Ste 630
Frisco, TX 75034
Phone
(469) 850-2661
Fax
(214) 292-6520
NPI assigned
Sep 3, 2014
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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 AP126152 TX Primary

Addresses

Primary practice location

8501 Wade Blvd Ste 630
Frisco, TX 75034

Mailing address

8501 Wade Blvd Ste 630
Frisco, TX 75034-6877
Phone (469) 850-2661

Other practice location 1

406 W Main St
Allen, TX 75013-2714
Phone (214) 495-9911

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP126152TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Birthing Associates, PLLC Advanced Practice Midwife Past Accepting new patients
Allen Birthing Center Past Accepting new patients

Organizations & group practices 3

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1861892390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 630",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346877",
            "telephone_number": "469-850-2661",
            "fax_number": "214-292-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WADE BLVD STE 630",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-850-2661",
            "fax_number": "214-292-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 W Main St",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750132714",
            "country_code": "US",
            "telephone_number": "214-495-9911",
            "fax_number": "214-495-9918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TERI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "APRN, CNM, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP126152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.