Organization Active NPI

Bloomington Normal Birthing Center

  • Advanced Practice Midwife
  • Bloomington, IL
National Provider Identifier
1124669015
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
BLOOMINGTON NORMAL BIRTHING CENTER
Practice address
6 Westport CT
Bloomington, IL 61704-8233
Phone
(309) 722-4020
Fax
(309) 740-4440
NPI assigned
Oct 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Authorized official

Name
Buffy Fleming
Title
Office Coordinator
Phone
(309) 722-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

6 Westport CT
Bloomington, IL 61704-8233

Mailing address

6 Westport CT
Bloomington, IL 61704-8233
Phone (309) 722-4020

National Provider Directory

National Provider Directory
Tax ID family
Bloomington Normal Birthing 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.

Locations

6 Westport Ct
Bloomington, IL 61704
Phone (309) 722-4020

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1124669015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WESTPORT CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048233",
            "telephone_number": "309-722-4020",
            "fax_number": "309-740-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WESTPORT CT",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048233",
            "telephone_number": "309-722-4020",
            "fax_number": "309-740-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON NORMAL BIRTHING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "BUFFY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "309-722-4020"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.