Individual provider Active NPI

Natalie Denise Wommack, CPM

  • Midwife
  • Houston, TX
National Provider Identifier
1972643930
Registry record updated Mar 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
05017 Issued in TX
Practice address
9011 Solara Bend CT
Houston, TX 77083-5094
Phone
(713) 376-0163
Fax
(281) 313-5527
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 05017 TX Primary

Addresses

Primary practice location

9011 Solara Bend CT
Houston, TX 77083-5094

Mailing address

9011 Solara Bend CT
Houston, TX 77083-5094
Phone (713) 376-0163

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

LicenseStateTypeSpecialty
05017TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Fruitfulvine Midwifery Care,LP Midwife Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237680000000",
    "number": "1972643930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 SOLARA BEND CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835094",
            "telephone_number": "713-376-0163",
            "fax_number": "281-313-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 SOLARA BEND CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835094",
            "telephone_number": "713-376-0163",
            "fax_number": "281-313-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMMACK",
        "first_name": "NATALIE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "05017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.