Individual provider Active NPI

Martie McKenzie Vinson

  • Midwife
  • Baltimore, MD
National Provider Identifier
1205706124
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM00051 Issued in MD
Practice address
2123 N Charles St
Baltimore, MD 21218-5785
Phone
(443) 313-6017
NPI assigned
Nov 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X DEM00051 MD Primary

Addresses

Primary practice location

2123 N Charles St
Baltimore, MD 21218-5785

Mailing address

320 S Highland Ave Apt 2
Baltimore, MD 21224-2372
Phone (301) 855-3988

Other practice location 1

2021 E Market St
York, PA 17402-2842
Phone (717) 423-8984

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
DEM00051MDMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1205706124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S HIGHLAND AVE APT 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242372",
            "telephone_number": "301-855-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185785",
            "telephone_number": "443-313-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022842",
            "country_code": "US",
            "telephone_number": "717-423-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINSON",
        "first_name": "MARTIE",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MD",
            "license": "DEM00051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.