Individual provider Active NPI

Katie Black, CPM, LM, RN

  • Midwife
  • Strasburg, VA
National Provider Identifier
1104692763
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0129000195 Issued in VA
Practice address
100 Founders Way Ste 5
Strasburg, VA 22657-3791
Phone
(540) 227-4949
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 0129000195 VA Primary

Addresses

Primary practice location

100 Founders Way Ste 5
Strasburg, VA 22657-3791

Mailing address

948 Refuge Church Rd
Stephens City, VA 22655-5621
Phone (703) 217-3941

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0129000195VAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Linden Tree Midwifery Midwife CurrentSince Jun 2, 2024 Accepting new patients

Locations

100 Founders Way
Ste 5
Strasburg, VA 22657
Phone (540) 227-4949

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104692763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 REFUGE CHURCH RD",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226555621",
            "telephone_number": "703-217-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOUNDERS WAY STE 5",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226573791",
            "telephone_number": "540-227-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KATIE",
        "credential": "CPM, LM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strasburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.