Organization Active NPI

Midwiferyworks

  • Midwife
  • Berkeley, CA
National Provider Identifier
1154864098
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
516 Issued in CA
Legal business name
MIDWIFERYWORKS
Practice address
3010 Colby St Ste 210
Berkeley, CA 94705-2059
Phone
(510) 644-0104
NPI assigned
Nov 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Authorized official

Name
Linda A Johnson, CNM
Title
Certified Nurse Midwife
Phone
(510) 644-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 516 CA Primary

Addresses

Primary practice location

3010 Colby St Ste 210
Berkeley, CA 94705-2059

Mailing address

2323 Ward St
Berkeley, CA 94705-1110
Phone (510) 644-0104

Other identifiers 1

IdentifierTypeStateIssuer
7550813MedicaidCA

National Provider Directory

National Provider Directory

Locations

3010 Colby St
Ste 210
Berkeley, CA 94705
Phone (510) 200-8079

NPI Registry JSON

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480118400000",
    "number": "1154864098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 WARD ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051110",
            "telephone_number": "510-644-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST STE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052059",
            "telephone_number": "510-644-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWIFERYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "510-644-0104",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7550813",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.