Mother Earth Yoga

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

Organization subpart

No

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

Authorized official

Name

Holly Ann Peckskamp, DOULA

Title

Birth Doula

Phone

(508) 789-7718

Specialties & licenses 1

Addresses

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": []
}

• Megan Molinaro, RBT
• Angelina M Montemurro, MD
• Antonio Ippolito Montemurro, DPM
• Jennifer Ann Montemurro, PT, MPT
• Brian Morton
• Michael James Mulroy, D.P.T.
• Jennifer Murphy, L.A.T.
• Jennifer Lynn Murray, MSN, APRN, FNP-C
• Tiffany Leigh Naekrsz
• Sandi J. Nath, OTR

• Lay Midwife in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Lay Midwife in Wisconsin

• 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.