Active NPI
Michelle Patula, CPM
- Midwife
- Marion, IL
National Provider Identifier
1023456340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 290-49
- Practice address
- 1014 N State St
Marion, IL 62959-2941 - Phone
- (618) 694-8990
- NPI assigned
- Jun 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 9000027 | KY | |
| Doula | 374J00000X | |||
| Midwife | 176B00000X | 290-49 | WI | Primary |
Addresses
Primary practice location
1014 N State St
Marion, IL 62959-2941
Mailing address
1014 N State St
Marion, IL 62959-2941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | N/A |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mapatula6@gmail.com | ||
| CONNECT URL | Mapatula6@gmail.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9000027 | KY | MD | Midwife |
| 290-49 | WI | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1023456340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 N STATE ST",
"city": "MARION",
"state": "IL",
"postal_code": "629592941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 N STATE ST",
"city": "MARION",
"state": "IL",
"postal_code": "629592941",
"telephone_number": "618-694-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATULA",
"first_name": "MICHELLE",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-08",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "KY",
"license": "9000027",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "290-49",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "01",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mapatula6@gmail.com",
"affiliation": "N",
"address_1": "1014 N State St",
"city": "Marion",
"state": "IL",
"country_code": "US",
"postal_code": "629592941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mapatula6@gmail.com",
"affiliation": "N",
"address_1": "1014 N State St",
"city": "Marion",
"state": "IL",
"country_code": "US",
"postal_code": "629592941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.