Active NPI
Annette Weller, CNM
- Midwife
- Hermosa, SD
National Provider Identifier
1023693140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CM000085
- Practice address
- 24598 Saddleback Dr
Hermosa, SD 57744-5774 - Phone
- (605) 209-2197
- Fax
- (605) 646-2578
- NPI assigned
- Mar 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CM000085 | SD | Primary |
Addresses
Primary practice location
24598 Saddleback Dr
Hermosa, SD 57744-5774
Mailing address
24598 Saddleback Dr
Hermosa, SD 57744-6005
Phone (605) 209-2197
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CM000085 | SD | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1023693140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24598 SADDLEBACK DR",
"city": "HERMOSA",
"state": "SD",
"postal_code": "577446005",
"telephone_number": "605-209-2197",
"fax_number": "605-646-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24598 SADDLEBACK DR",
"city": "HERMOSA",
"state": "SD",
"postal_code": "577445774",
"telephone_number": "605-209-2197",
"fax_number": "605-646-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "ANNETTE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "SD",
"license": "CM000085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermosa, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.