Active NPI
Triston Marie Persinger, CPM LM
- Midwife
- Killeen, TX
National Provider Identifier
1871312751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99573
- Practice address
- 4400-3 E Central Texas Expy Ste D
Killeen, TX 76543-7396 - Phone
- (254) 300-1337
- Fax
- (512) 777-4067
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99573 | TX | Primary |
Addresses
Primary practice location
4400-3 E Central Texas Expy Ste D
Killeen, TX 76543-7396
Mailing address
4400-3 E Central Texas Expy Ste D
Killeen, TX 76543-7396
Phone (254) 300-1337
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99573 | TX | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulce Birthing Center | Current | Accepting new patients | |
| Services With Dulce, PLLC | Midwife | Current | Accepting new patients |
Locations
4400-3 E Central Texas Expy
Ste D
Killeen, TX 76543
Phone (254) 300-1337
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.
-
- Birthing Clinic/Center
- Killeen, TX
- NPI 1811513047
-
- Midwife
- Killeen, TX
- NPI 1184305500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1871312751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400-3 E CENTRAL TEXAS EXPY STE D",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765437396",
"telephone_number": "254-300-1337",
"fax_number": "512-777-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400-3 E CENTRAL TEXAS EXPY STE D",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765437396",
"telephone_number": "254-300-1337",
"fax_number": "512-777-4067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSINGER",
"first_name": "TRISTON",
"middle_name": "MARIE",
"credential": "CPM LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.