Active NPI
Jewel Brighten, C.P.M., L.M.
- Midwife
- Chino Valley, AZ
National Provider Identifier
1184992232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0206
- Practice address
- 890 Staley LN
Chino Valley, AZ 86323-6173 - Phone
- (928) 642-4383
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 0206 | AZ | Primary |
Addresses
Primary practice location
890 Staley LN
Chino Valley, AZ 86323-6173
Mailing address
PO Box 4410
Chino Valley, AZ 86323-2729
Phone (928) 642-4383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0206 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1184992232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4410",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863232729",
"telephone_number": "928-642-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 STALEY LN",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863236173",
"telephone_number": "928-642-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHTEN",
"first_name": "JEWEL",
"credential": "C.P.M., L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "0206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.