Organization Active NPI

Blue Ridge Birth

  • Midwife
  • Bluemont, VA
National Provider Identifier
1013315035
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0129000086 Issued in 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
Last updated
Dec 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Kelly Brown Jenkins, CPM, LMNPI 1649619313
Title
Certified Professional Midwife
Phone
(703) 727-3053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 0129000086 VA Primary

Addresses

Primary practice location

96 Locust LN
Bluemont, VA 20135-4854

Mailing address

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

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": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1013315035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 LOCUST LN",
            "city": "BLUEMONT",
            "state": "VA",
            "postal_code": "201354854",
            "telephone_number": "703-727-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 LOCUST LN",
            "city": "BLUEMONT",
            "state": "VA",
            "postal_code": "201354854",
            "telephone_number": "703-727-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "CERTIFIED PROFESSIONAL MIDWIFE",
        "authorized_official_telephone_number": "703-727-3053",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluemont, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.