Wareham Nurse Midwives PC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

143429 Issued in MA

Legal business name

WAREHAM NURSE MIDWIVES PC

Practice address

332 Main Street
Wareham, MA 02571

Phone

(508) 295-3088

Fax

(508) 295-2079

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Louise Racine Bastarache, CNM MS NP

Title

President

Phone

(508) 295-3088

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1104007368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 MAIN STREET",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02571",
            "telephone_number": "508-295-3088",
            "fax_number": "508-295-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 MAIN STREET",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02571",
            "telephone_number": "508-295-3088",
            "fax_number": "508-295-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREHAM NURSE MIDWIVES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "BASTARACHE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "RACINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-295-3088",
        "authorized_official_credential": "CNM MS NP"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "MA",
            "license": "143429",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "143429",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "275550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783571",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NC0012",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Wareham, MA
• Providers in Wareham, MA by specialty
• Midwife in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.