Active NPI
Jessica Helen Defilippo, C.P.M., L.M.
- Midwife
- Hertel, WI
National Provider Identifier
1083814495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 25-049
- Practice address
- 24583 Town Hall Rd
Hertel, WI 54845-9702 - Phone
- (715) 468-4190
- Fax
- (715) 468-4193
- NPI assigned
- Jul 23, 2007
- 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 | 25-049 | WI | Primary |
Addresses
Primary practice location
24583 Town Hall Rd
Hertel, WI 54845-9702
Mailing address
24583 Town Hall Rd
Hertel, WI 54845-9702
Phone (715) 468-4190
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 |
|---|---|---|---|
| 25-049 | WI | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1083814495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24583 TOWN HALL RD",
"city": "HERTEL",
"state": "WI",
"postal_code": "548459702",
"telephone_number": "715-468-4190",
"fax_number": "715-468-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24583 TOWN HALL RD",
"city": "HERTEL",
"state": "WI",
"postal_code": "548459702",
"telephone_number": "715-468-4190",
"fax_number": "715-468-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFILIPPO",
"first_name": "JESSICA",
"middle_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "C.P.M., L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "25-049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.