NPIMap

Organization Active NPI

Mother Earth Yoga

  • Lay Midwife
  • Pleasant Prairie, WI
National Provider Identifier
1003213612
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
Legal business name
MOTHER EARTH YOGA
Practice address
11257 42ND Ave
Pleasant Prairie, WI 53158-3842
Phone
(508) 789-7718
NPI assigned
Nov 25, 2014
Last updated
Nov 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Holly Ann Peckskamp, DOULANPI 1558192559
Title
Birth Doula
Phone
(508) 789-7718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 175M00000X Primary

Addresses

Primary practice location

11257 42ND Ave
Pleasant Prairie, WI 53158-3842

Mailing address

11257 42ND Ave
Pleasant Prairie, WI 53158-3842

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1003213612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11257 42ND AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531583842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11257 42ND AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531583842",
            "telephone_number": "508-789-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER EARTH YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "PECKSKAMP",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BIRTH DOULA",
        "authorized_official_telephone_number": "508-789-7718",
        "authorized_official_credential": "DOULA"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.