Individual provider Active NPI

Joann Elsie Niebur, RN, CNM

  • Advanced Practice Midwife
  • Watsonville, CA
National Provider Identifier
1003649054
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236483 Issued in CA
Practice address
55 Brennan St RM 201
Watsonville, CA 95076-4342
Phone
(831) 726-0011
NPI assigned
Aug 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95388128 CA
Advanced Practice Midwife 367A00000X 236483 CA Primary

Addresses

Primary practice location

55 Brennan St RM 201
Watsonville, CA 95076-4342

Mailing address

1570 Soquel Dr Ste 3&4
Santa Cruz, CA 95065-1707
Phone (831) 475-2200

Other names 1

  • Joann Elsie Belak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95388128CAMDRegistered Nurse
236483CAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1003649054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 SOQUEL DR STE 3&4",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651707",
            "telephone_number": "831-475-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRENNAN ST RM 201",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764342",
            "telephone_number": "831-726-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEBUR",
        "first_name": "JOANN",
        "middle_name": "ELSIE",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95388128",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANN",
            "last_name": "BELAK",
            "middle_name": "ELSIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.