Mary Baracco, CNM NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1211 Issued in CA

Practice address

31 Easter Ave
Weaverville, CA 96093-0000

Phone

(530) 623-4186

Fax

(530) 623-4397

NPI assigned

Oct 11, 2006

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1255429528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "address_2": "201 STEELHEAD CIRCLE",
            "city": "LEWISTON",
            "state": "CA",
            "postal_code": "960520154",
            "telephone_number": "530-778-3354",
            "fax_number": "530-623-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 EASTER AVE",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960930000",
            "telephone_number": "530-623-4186",
            "fax_number": "530-623-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARACCO",
        "first_name": "MARY",
        "credential": "CNM NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "490245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8853",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiraporn Dow Angspatt, MFT, ED.D
• Nancy Sickle Antoon
• Julia Lynn Ashton-Boyd, MFT INTERN
• Carolyn Atterberry
• Melissa Anne Daluz Avila, BSN, RN, PHN
• Katie Ziser Barone, DPT
• Tammerab Baudizzon
• Steven Bayless
• April Asher Beard
• Dawn B Bennett

• Advanced Practice Midwife in Weaverville, CA
• Providers in Weaverville, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.