Born Homebirth

Primary specialty

MidwifeTaxonomy code 176B00000X

License

107.0107717 Issued in VT

Legal business name

BORN HOMEBIRTH

Practice address

654 Granger Rd
Barre, VT 05641-5369

Phone

(802) 249-3021

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Pia-Needleman, CPM, LM

Title

Owner

Phone

(802) 249-3021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1134527674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLIFF ST APT 2",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 GRANGER RD",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056415369",
            "telephone_number": "802-249-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN HOMEBIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "PIA-NEEDLEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-249-3021",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VT",
            "license": "107.0107717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Elizabeth Boleyn Casey, RN
• Kenyon Castle Bolton IV
• Robin L. Bonser, MED
• Deanna R Booth, LCMHC
• Amy S Borgman, PA
• Rob Borowske, D.C.
• Dianne M Bouchard
• Louis D. Boudreau
• Briana Marie Bouffard, RN
• Maryellen Willette Boutin, PHYSICAL THERAPIST

• Midwife in Barre, VT
• Providers in Barre, VT by specialty
• Midwife in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.