HERITAGE BIRTH CENTER, LLC (NPI# 1194226654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194226654 |
| Entity Type | Organization |
| Organization Name | HERITAGE BIRTH CENTER, LLC |
| Other Organization Name | HERITAGE BIRTHS |
| Practice Address |
3410 Knoxville Ave Lubbock TX 79413 |
| Practice Telephone | 8062248617 |
| Practice Fax Number | 8063292632 |
| Mailing Telephone | 8062248617 |
| Mailing Fax Number | 8063292632 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | ALEXANDRA WYATT (OWNER) |
| Authorized Official Telephone | 8184211355 |
| Authorized Official Credential | LM, CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QB0400X |
Clinic/Center Specialization: Birthing |
150068 | TX | Ambulatory Health Care Facilities |
| Y | 176B00000X | Midwife | 99178 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 811042082 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Births | Former Legal Business Name - Organization |
| Street Address |
3410 KNOXVILLE AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| 1457572109 | Sphinx Sunrunners Inc | Assisted Living Facility | 3319 35th St, Lubbock, TX 79413 | 2007-05-01 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306300751 | Carmen Geyman | Midwife | 10703 Dixon Ave, Lubbock, TX 79423-5307 | 2019-01-29 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1174045819 | Birthing Spot & Wellness Center | Midwife | 116 N Norwich Ave, Lubbock, TX 79416-3730 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439926 | Leena Pacak | Midwife | 1803 S 1st St, Austin, TX 78704-4238 | 2020-08-31 |
| 1942813548 | Shanna Hinrichs | Midwife | 8409 Liberty Ln, Rowlett, TX 75089-2546 | 2020-08-25 |
| 1780295576 | Jalisa Taylor | Midwife | 7447 Harwin Dr Ste 290, Houston, TX 77036-2080 | 2020-08-13 |
| 1073124194 | Aisha Ralph | Midwife | 700 Louis Henna Blvd Apt 524, Round Rock, TX 78664-5742 | 2020-08-12 |
| 1083230254 | Hali Morgan Tipton | Midwife | 8206 Intrepid Ln, Rowlett, TX 75089-2516 | 2020-06-23 |
| 1124641659 | Ennis Midwifery LLC | Midwife | 2507 Park St, Ennis, TX 75119-7650 | 2020-05-19 |
| 1588287007 | The Bump Birthing Center Inc. | Midwife | 7905 Liberty Grove Rd, Rowlett, TX 75089-2311 | 2020-05-19 |
| 1033739982 | Home Birth Honey LLC | Midwife | 8807 Huebinger Pass, Austin, TX 78745-8029 | 2020-04-21 |
| 1063041242 | Victoria Long | Midwife | 1840 County Road 203, Burnet, TX 78611-6289 | 2020-04-08 |
| 1801425996 | Amorette Embrey | Midwife | 14435 Cabot Lodge Ln, Cypress, TX 77429-4321 | 2020-04-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.