Individual provider Active NPI

Tina Moore Braimah, RN, MSN, CNM

  • Advanced Practice Midwife
  • Durham, NC
National Provider Identifier
1063950996
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
1412 Hudson Ave
Durham, NC 27705-3353
Phone
(919) 299-3050
Fax
(919) 999-2493
NPI assigned
Feb 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NC Primary

Addresses

Primary practice location

1412 Hudson Ave
Durham, NC 27705-3353

Mailing address

1412 Hudson Ave
Durham, NC 27705-3353
Phone (248) 842-3960

Other names 1

  • Tina Nicole Moore Former name

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, Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aya Birth & Community Wellness PLLC Current Accepting new patients
Sankofa Birth and Women'S Care PLLC Advanced Practice Midwife Current Accepting new patients
Aya Birth & Community Wellness PLLC Advanced Practice Midwife Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1063950996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 HUDSON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053353",
            "telephone_number": "248-842-3960",
            "fax_number": "919-299-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 HUDSON AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053353",
            "telephone_number": "919-299-3050",
            "fax_number": "919-999-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIMAH",
        "first_name": "TINA",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-12",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "MOORE",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.