Barbara A Malvin, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

AM082058 Issued in ME

Practice address

417 State Street
Webber West Suite 141
Bangor, ME 04401-4096

Phone

(207) 973-4670

Fax

(207) 973-4669

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Maine Medical Center

  • General Acute Care Hospital
  • Bangor, ME
  • NPI 1790789147
  Medicare reassignment
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  NPD (past)
• Penobscot Valley Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lincoln, ME
  • NPI 1700805868
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1235198409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 STATE STREET",
            "address_2": "WEBBER WEST SUITE 141",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014096",
            "telephone_number": "207-973-4670",
            "fax_number": "207-973-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVIN",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "AM082058",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R048207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303870099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallick Endodontics
• Nikhil S Mallick, DDS
• Norman Robert Mallory, PA-C
• Bruce A Malmer, M.D.
• Teresa Tolson Malmer, MD
• Jennifer Malvin, MHRT
• Earl Mamaril, MS OTR/L
• Kimberly L Manasco, FNPC
• Cynthia Mangan, LCPC
• Manna Inc

• Advanced Practice Midwife in Bangor, ME
• Providers in Bangor, ME by specialty
• Advanced Practice Midwife in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.