Organization Active NPI

Northern New Mexico Birth Center

  • Midwife
  • Taos, NM
National Provider Identifier
1144422148
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
95297R Issued in NM
Legal business name
NORTHERN NEW MEXICO BIRTH CENTER
Practice address
1331 Maestas Rd
Taos, NM 87571
Phone
(575) 758-1216
Fax
(575) 758-2683
NPI assigned
Jun 1, 2007
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Mrs. Bobbie Jeanette Boyd, LM CPMNPI 1518154905
Title
Midwife
Phone
(575) 758-1216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X
Midwife 176B00000X 00405R NM
Midwife 176B00000X 07038R NM
Midwife 176B00000X 95297R NM Primary

Addresses

Primary practice location

1331 Maestas Rd
Taos, NM 87571

Mailing address

1331 Maestas Rd
Taos, NM 87571
Phone (575) 758-1216

Other identifiers 3

IdentifierTypeStateIssuer
6552OtherNMBCBS
51268MedicaidNM
0051268MedicaidNM

Other names 1

  • Northern New Mexico Midwifery Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Northern New Mexico Birth 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1144422148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-1216",
            "fax_number": "575-758-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MAESTAS RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-1216",
            "fax_number": "575-758-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW MEXICO BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "575-758-1216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM CPM"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "00405R",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "07038R",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "95297R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6552",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51268",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051268",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern New Mexico Midwifery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.