JOHANNA CONGLETON, CNM, PA
NPI 1447672357
Advanced Practice Midwife in Dallas, TX

NPI Status: Active since January 11, 2014

Contact Information

9 MEDICAL PKWY PLAZA 4
STE 103
DALLAS, TX
ZIP 75234
Phone: (972) 406-9911
Fax: (972) 406-9930

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  • Organization
  • Advanced Practice Midwife

About JOHANNA CONGLETON, CNM, PA

This page provides the complete NPI Profile along with additional information for Johanna Congleton, Cnm, Pa, a provider established in Dallas, Texas operating as a Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1447672357 assigned on January 2014. The practitioner's primary taxonomy code is 367A00000X with license number CNM1795 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Malathi Ellis Md (Provider/owner)

NPI
1447672357
Provider Name
JOHANNA CONGLETON, CNM, PA
Entity Type
Organization
Location Address
9 MEDICAL PKWY PLAZA 4 STE 103 DALLAS, TX 75234
Location Phone
(972) 406-9911
Location Fax
(972) 406-9930
Mailing Address
6750 N MACARTHUR BLVD 100 IRVING, TX 75039
Mailing Phone
(972) 406-9911
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2014
Last Update Date
07-27-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNM1795
License State
TX
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MALATHI ELLIS MD

Authorized Official Title
PROVIDER/OWNER
Authorized Official Phone
(972) 406-9911

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
744687OTHER (01)TXNURSE LICENSE #
15228OTHER (01)TXRX AUTH #
345079301MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447672357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24871274310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 2 + 7 + 4 + 3 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1447672357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447672357, enumerated as an "organization" on January 11, 2014.

The provider is located at 9 MEDICAL PKWY PLAZA 4 STE 103 DALLAS, TX 75234 and the phone number is (972) 406-9911.

Advanced Practice Midwife with taxonomy code 367A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.