NPIMap

Organization Active NPI

Roots Midwifery, LLC

  • Midwife
  • Hopkins, MN
National Provider Identifier
1093103814
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
ROOTS MIDWIFERY, LLC
Practice address
302 7TH St S
Hopkins, MN 55343-7721
Phone
(612) 963-7770
Fax
(612) 223-6799
NPI assigned
Dec 31, 2014
Last updated
Dec 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Rebecca Polston, CPMNPI 1104102276
Title
Owner/Midwife
Phone
(612) 963-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NU Primary

Addresses

Primary practice location

302 7TH St S
Hopkins, MN 55343-7721

Mailing address

302 7TH St S
Hopkins, MN 55343-7721
Phone (612) 963-7770

National Provider Directory

National Provider Directory
Tax ID family
Roots Community Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1093103814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 7TH ST S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437721",
            "telephone_number": "612-963-7770",
            "fax_number": "612-223-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 7TH ST S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437721",
            "telephone_number": "612-963-7770",
            "fax_number": "612-223-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "POLSTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/MIDWIFE",
        "authorized_official_telephone_number": "612-963-7770",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.