Lee Ann Bristow, APRN-CNM, MS

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

268563 Issued in OH

Practice address

12991 Emerson Rd
Apple Creek, OH 44606-9302

Phone

(330) 857-0177

Fax

(330) 857-0190

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: leeannbristowcnm@drdanielcain.medentdirect.com
• Direct secure messaging: leeannbristowcnm@twinsprings.medentdirect.com

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

• Twin Springs Medical Center LTD

  • Obstetrics & Gynecology Physician
  • Apple Creek, OH
  • NPI 1255613840

  Advanced Practice Midwife

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1124099924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12991 EMERSON RD",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069302",
            "telephone_number": "330-857-0177",
            "fax_number": "330-857-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12991 EMERSON RD",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446069302",
            "telephone_number": "330-857-0177",
            "fax_number": "330-857-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "APRN-CNM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "268563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Elizabeth Adams
• Tonja E Blair
• Tamara Brimm, LPN
• Tammy Jean Brooks, LPN
• Donald Wayne Bunker, DC
• Raygan Carr
• Makayla Alizabeth Connock
• Darcey Demmitt

• Advanced Practice Midwife in Apple Creek, OH
• Providers in Apple Creek, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.