Active NPI
Midwiferyworks
- Midwife
- Berkeley, CA
National Provider Identifier
1154864098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 516
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7550813 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.