Individual provider Active NPI

Jewel Brighten, C.P.M., L.M.

  • Midwife
  • Chino Valley, AZ
National Provider Identifier
1184992232
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0206 Issued in AZ
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

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0206AZMDAthletic 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.

Verify at the official NPI Registry.