Active NPI
Kathleen Anne Mayorga, RN CNM
- Advanced Practice Midwife
- McKinney, TX
National Provider Identifier
1922112101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 554960
- Practice address
- 100 E Louisiana St
Suite 6
McKinney, TX 75069-4412 - Phone
- (217) 428-7060
- Fax
- (972) 542-8172
- NPI assigned
- Aug 18, 2006
- Last updated
- Nov 24, 2023
- 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 | 554960 | TX | Primary |
Addresses
Primary practice location
100 E Louisiana St
Suite 6
McKinney, TX 75069-4412
Mailing address
100 E Louisiana St
Suite 6
McKinney, TX 75069-4412
Phone (217) 428-7060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487837 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Bachelor of Science, Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554960 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Births | Past | Accepting new 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.
-
- Birthing Clinic/Center
- McKinney, TX
- NPI 1124327184
-
- Birthing Clinic/Center
- Allen, TX
- NPI 1629192562
-
- Advanced Practice Midwife
- Allen, TX
- NPI 1205985363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1922112101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LOUISIANA ST",
"address_2": "SUITE 6",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750694412",
"telephone_number": "217-428-7060",
"fax_number": "972-542-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LOUISIANA ST",
"address_2": "SUITE 6",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750694412",
"telephone_number": "217-428-7060",
"fax_number": "972-542-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYORGA",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "RN CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2023-11-24",
"certification_date": "2023-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "554960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487837",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.