Active NPI
Heather Nelson, CPM
- Midwife
- Revere, MO
National Provider Identifier
1023868239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CPM24030416
- Practice address
- 14986 County Road 81
Revere, MO 63465-1125 - Phone
- (660) 216-9026
- NPI assigned
- Mar 22, 2024
- 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 | CPM24030416 | MO | Primary |
Addresses
Primary practice location
14986 County Road 81
Revere, MO 63465-1125
Mailing address
14986 County Road 81
Revere, MO 63465-1125
Phone (660) 216-9026
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 |
|---|---|---|---|
| CPM24030416 | MO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1023868239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14986 COUNTY ROAD 81",
"city": "REVERE",
"state": "MO",
"postal_code": "634651125",
"telephone_number": "660-216-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14986 COUNTY ROAD 81",
"city": "REVERE",
"state": "MO",
"postal_code": "634651125",
"telephone_number": "660-216-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "HEATHER",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MO",
"license": "CPM24030416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Revere, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.