Blue Ridge Birth

Organization Active NPI Midwife · Bluemont, VA

NPI 1013315035 · NPPES record last updated Dec 8, 2014

Key facts

NPI
1013315035
Entity type
Organization (NPI type 2)
Primary specialty
Midwife 176B00000X
License
0129000086 (VA)
Legal business name
BLUE RIDGE BIRTH
Practice address
96 Locust LN
Bluemont, VA 20135-4854
Phone
(703) 727-3053
NPI assigned
Dec 8, 2014
Organization subpart
No

Authorized official

Name
Kelly Brown Jenkins, CPM, LM
Title
Certified Professional Midwife
Phone
(703) 727-3053

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife
Group: 193400000X SINGLE SPECIALTY GROUP
176B00000X 0129000086 VA Yes

Addresses

Primary practice location

96 Locust LN
Bluemont, VA 20135-4854

Mailing address

96 Locust LN
Bluemont, VA 20135-4854
Phone (703) 727-3053

Other providers in Bluemont, VA

All providers in Bluemont, VA · Midwife in Virginia

Sources for this page

Verify at the official NPI Registry.