Active NPI
Elizabeth Ross Birch, MS, CNM
- Advanced Practice Midwife
- Bloomington, IN
National Provider Identifier
1023045150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000035
- Practice address
- 421 W 1St St
Bloomington, IN 47403-2403 - Phone
- (812) 336-0168
- Fax
- (812) 335-7372
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000035 | IN | Primary |
| Registered Nurse | 163W00000X | 28116356A | IN |
Addresses
Primary practice location
421 W 1St St
Bloomington, IN 47403-2403
Mailing address
421 W 1St St
Bloomington, IN 47403-2403
Phone (812) 336-0168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200227350A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28116356A | IN | MD | Registered Nurse |
| 09000035 | IN | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1023045150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W 1ST ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032403",
"telephone_number": "812-336-0168",
"fax_number": "812-335-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W 1ST ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032403",
"telephone_number": "812-336-0168",
"fax_number": "812-335-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "ELIZABETH",
"middle_name": "ROSS",
"name_prefix": "Ms.",
"credential": "MS, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000035",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28116356A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200227350A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.