Adrianna Ross, CPM, LM
Individual provider Active NPI Midwife · Windham, VT
NPI 1235534280 · NPPES record last updated Nov 1, 2014
Key facts
- NPI
- 1235534280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 107.0107840 (VT)
- Practice address
- 1104 Route 121
Apt B
Windham, VT 05359-9632 - Phone
- (802) 875-1779
- NPI assigned
- Nov 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107.0107840 | VT | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 107.0107840 | VT | Yes |
Addresses
Primary practice location
1104 Route 121
Apt B
Windham, VT 05359-9632
Mailing address
1104 Route 121
Apt B
Windham, VT 05359-9632
Phone (802) 875-1779
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.