Dorothy Reeves Kaeck, LM, CPM

Individual provider Active NPI Midwife · Ranchos de Taos, NM

NPI 1134448939 · NPPES record last updated Feb 24, 2014

Key facts

NPI
1134448939
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
License
13115R (NM)
Practice address
49 Camino Sur del Llano Quemado
Ranchos de Taos, NM 87557-9789
Phone
(575) 770-9433
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
13115RNMMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Breath of My Heart Birthplace Midwife Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 10030033
Midwife 176B00000X 13115R NM Yes

Addresses

Primary practice location

49 Camino Sur del Llano Quemado
Ranchos de Taos, NM 87557-9789

Mailing address

49 Camino Sur del Llano Quemado
Ranchos de Taos, NM 87557-9789
Phone (575) 770-9433

Other providers in Ranchos de Taos, NM

All providers in Ranchos de Taos, NM · Midwife in New Mexico

Sources for this page

Verify at the official NPI Registry.