Organization Active NPI

Your Home Birth LLC

  • Midwife
  • Rockford, MI
National Provider Identifier
1275828204
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
YOUR HOME BIRTH LLC
Practice address
120 E Division St
Rockford, MI 49341-1206
Phone
(616) 295-1128
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Shannon Pawson, CPM
Title
Midwife
Phone
(616) 295-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

120 E Division St
Rockford, MI 49341-1206

Mailing address

120 E Division St
Rockford, MI 49341-1206
Phone (616) 295-1128

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1275828204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411206",
            "telephone_number": "616-295-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E DIVISION ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411206",
            "telephone_number": "616-295-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HOME BIRTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "PAWSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "616-295-1128",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.