Polly Bennett Cordova, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

616284 Issued in TX

Practice address

5201 Harry Hines Blvd
Dallas, TX 75235-7708

Phone

(214) 590-1396

Fax

(214) 590-1401

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Polly A Bennett Former name

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.1 of 100Reported as group

Quality

88.97

Promoting interoperability

79

Improvement activities

40

Cost

83.75

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcordova18833@direct.phhs.org

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.

• Dallas County Hospital District

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995
  Medicare reassignment Care Compare group
• Dallas County Hospital District

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1558035188

  Advanced Practice Midwife

  NPD
• Dallas County Hospital District

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1780832071
  NPD
• Dallas County Hospital District

  • Women's Health Nurse Practitioner
  • Dallas, TX
  • NPI 1831198506
  NPD

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1922004449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-1396",
            "fax_number": "214-590-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357708",
            "telephone_number": "214-590-1396",
            "fax_number": "214-590-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "POLLY",
        "middle_name": "BENNETT",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "616284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037046202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLY",
            "last_name": "BENNETT",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Traci Erin Corder, WHCNP
• Luis Cordero, MD
• Cordial Care Home Health Services Inc
• Joel Cordova Cicle
• Luis Santiago Cordova
• Cherryl Daigre Cordum, R.PH
• Core Dental Co PLLC
• Core Integrative Medical Solutions PLLC
• Core P.C.
• Corecap Solutions LLC

• Advanced Practice Midwife in Dallas, TX
• Providers in Dallas, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.