Individual provider Active NPI

Angela Marie Thornton, CNM

  • Advanced Practice Midwife
  • Royal Oak, MI
National Provider Identifier
1255564159
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
4704304402 Issued in MI
Practice address
326 N Main St
Royal Oak, MI 48067-4121
Phone
(248) 584-7600
Fax
(248) 584-7606
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704304402 MI Primary

Addresses

Primary practice location

326 N Main St
Royal Oak, MI 48067-4121

Mailing address

7641 La Salle Blvd
Detroit, MI 48206
Phone (313) 392-3010

Other names 1

  • Ms. Angela Marie Carpenter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20141230002012 MI Practitioner - Certified Nurse Midwife (CNM) 5294863940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4704304402MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women's Health Medical Group, P.C. CurrentSince Mar 4, 2024 Accepting new patients

Locations

390 Park St
Ste 109
Birmingham, MI 48009
Phone (248) 647-5660

29751 Little Mack Ave
Ste B
Roseville, MI 48066

326 N Main St
Royal Oak, MI 48067
Phone (248) 584-7600

Interoperability endpoints

  • Direct secure messaging: angela.thornton.1@23349.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1255564159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7641 LA SALLE BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-392-3010",
            "fax_number": "248-584-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480674121",
            "telephone_number": "248-584-7600",
            "fax_number": "248-584-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704304402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CARPENTER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.