Individual provider Active NPI

Comfort Mudoh, CNM, FNP-C

  • Advanced Practice Midwife
  • Arlington, TX
National Provider Identifier
1982247722
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1095220 Issued in TX
Practice address
3201 Matlock Rd Ste 210
Arlington, TX 76015-2946
Phone
(817) 468-4689
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1095220 TX
Advanced Practice Midwife 367A00000X LK-0000202 DE
Advanced Practice Midwife 367A00000X 1095220 TX Primary

Addresses

Primary practice location

3201 Matlock Rd Ste 210
Arlington, TX 76015-2946

Mailing address

4805 Crumbcake Dr
Fort Worth, TX 76244-4627
Phone (443) 527-4985

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
I20230208002296 TX Practitioner - Certified Nurse Midwife (CNM) 2466870431 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LK-0000202DEMDAdvanced Practice Midwife
1095220TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Health TX PLLC Family CurrentSince Oct 20, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Jan 25, 2023 Accepting new patients

Locations

1120 Raintree Cir
Ste 280
Allen, TX 75013
Phone (214) 383-9356

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

Interoperability endpoints

  • Direct secure messaging: comfort.mudoh.1@23211.direct.athenahealth.com

Organizations & group practices 2

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1982247722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 CRUMBCAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444627",
            "telephone_number": "443-527-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MATLOCK RD STE 210",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152946",
            "telephone_number": "817-468-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDOH",
        "first_name": "COMFORT",
        "credential": "CNM, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095220",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0000202",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1095220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.