Mountain Sea Midwifery and Wellness

Primary specialty

MidwifeTaxonomy code 176B00000X

License

74 Issued in AK

Legal business name

MOUNTAIN SEA MIDWIFERY AND WELLNESS

Practice address

53254 Merimac
Fritz Creek, AK 99603-6024

Phone

(907) 299-5669

Fax

(907) 782-4394

NPI assigned

Feb 4, 2016

Last updated

Feb 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather Forbes, CPM, CDM, BSMNPI 1073948758

Title

Owner/Midwife

Phone

(907) 299-5669

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Forbes, CDM, CPM

  • Midwife
  • Soldotna, AK
  • NPI 1073948758
  NPD Authorized official

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1083072060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15024",
            "city": "FRITZ CREEK",
            "state": "AK",
            "postal_code": "99603",
            "telephone_number": "907-299-5669",
            "fax_number": "907-782-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53254 MERIMAC",
            "city": "FRITZ CREEK",
            "state": "AK",
            "postal_code": "996036024",
            "telephone_number": "907-299-5669",
            "fax_number": "907-782-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SEA MIDWIFERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/MIDWIFE",
        "authorized_official_telephone_number": "907-299-5669",
        "authorized_official_credential": "CPM, CDM, BSM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "74",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1599851",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.