Individual provider Active NPI

Stephanie Gayle White, APRN, CNM

  • Advanced Practice Midwife
  • Lubbock, TX
National Provider Identifier
1962952143
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP132205 Issued in TX
Practice address
3502 9TH St Ste 280
Lubbock, TX 79415-5305
Phone
(806) 765-2611
NPI assigned
Oct 11, 2016
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP132205 TX Primary

Addresses

Primary practice location

3502 9TH St Ste 280
Lubbock, TX 79415-5305

Mailing address

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 791-5377

Other practice location 1

1610 5th St
Lubbock, TX 79401-2622
Phone (806) 765-2611

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180731002320 TX Practitioner - Certified Nurse Midwife (CNM) 6406128842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1610 5TH St
Lubbock, TX 79401-2622
Phone (806) 765-2611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP132205TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Lubbock, Inc. CurrentSince Mar 20, 2018 Accepting new patients
Community Health Center of Lubbock, Inc. CurrentSince Mar 20, 2018 Accepting new patients
Community Health Center of Lubbock, Inc. CurrentSince Mar 20, 2018 Accepting new patients
Community Health Center of Lubbock, Inc Past Accepting new patients

Locations

1610 5th St
Lubbock, TX 79401
Phone (806) 763-9999

3502 9th St
Ste 280
Lubbock, TX 79415
Phone (806) 743-3085

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1962952143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794012622",
            "telephone_number": "806-791-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 280",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794155305",
            "telephone_number": "806-765-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 5th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794012622",
            "country_code": "US",
            "telephone_number": "806-765-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "STEPHANIE",
        "middle_name": "GAYLE",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP132205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.