Active NPI
Stacy Lewis, CNM
- Advanced Practice Midwife
- San Marcos, TX
National Provider Identifier
1922043793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 2265 Bridlewood Ranches Dr
San Marcos, TX 78666-1991 - Phone
- (210) 296-8661
- Fax
- (866) 399-0991
- NPI assigned
- Jun 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
2265 Bridlewood Ranches Dr
San Marcos, TX 78666-1991
Mailing address
1141 N Loop 1604 E # 105187
San Antonio, TX 78232-1339
Phone (806) 316-2158
Other names 1
- Stacy Green
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| His Sacred Path Midwifery | Current | Accepting new patients | |
| The Village Midwife | Current | Accepting new patients | |
| National Birth Centers, Inc. | 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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Dallas, TX
- NPI 1730669805
-
- Birthing Clinic/Center
- Newport News, VA
- NPI 1932687894
-
- Birthing Clinic/Center
- San Marcos, TX
- NPI 1265734024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1922043793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N LOOP 1604 E # 105187",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321339",
"telephone_number": "806-316-2158",
"fax_number": "866-399-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2265 BRIDLEWOOD RANCHES DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786661991",
"telephone_number": "210-296-8661",
"fax_number": "866-399-0991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STACY",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "GREEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.