Active NPI
Mary Gockenbach, CPM LM
- Midwife
- Cleburne, TX
National Provider Identifier
1932450178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99157
- Practice address
- 805 N Main St
Cleburne, TX 76033-3816 - Phone
- (817) 558-2229
- Fax
- (817) 641-2226
- NPI assigned
- Sep 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99157 | TX | Primary |
| Doula | 374J00000X |
Addresses
Primary practice location
805 N Main St
Cleburne, TX 76033-3816
Mailing address
805 N Main St
Cleburne, TX 76033-3816
Phone (817) 558-2229
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 |
|---|---|---|---|
| 99157 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1932450178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N MAIN ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760333816",
"telephone_number": "817-558-2229",
"fax_number": "817-641-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 N MAIN ST",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760333816",
"telephone_number": "817-558-2229",
"fax_number": "817-641-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOCKENBACH",
"first_name": "MARY",
"credential": "CPM LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99157",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.