MRS. VICKY MARIE WELLS (NPI# 1255513792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255513792 |
| Entity Type | Individual |
| Full Name | MRS. VICKY MARIE WELLS |
| Credential | MIDWIFE |
| Practice Address |
421 S Bonner Ave Tyler TX 75702-8034 |
| Practice Telephone | 9035262600 |
| Practice Fax Number | 9035262605 |
| Mailing Telephone | 9035262600 |
| Mailing Fax Number | 9035262605 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 99030 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3361719 | 05 |
| Street Address |
421 S BONNER AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75702-8034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215381793 | Erin Dorr | Midwife, Lay | 421 S Bonner Ave, Tyler, TX 75702-8034 | 2016-04-20 |
| 1568616571 | Labor of Love Birth Center, Inc. | Clinic/Center | 421 S Bonner Ave, Tyler, TX 75702-8034 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| 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 |
|---|---|---|---|---|
| 1578966065 | Melena Sandifer | Midwife | 215 S Vine Ave, Tyler, TX 75702-7143 | 2014-09-29 |
| 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.