Organization Active NPI

Lavender Moon Midwifery

  • Advanced Practice Midwife
  • San Diego, CA
National Provider Identifier
1275959694
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW 1992 Issued in CA
Legal business name
LAVENDER MOON MIDWIFERY
Practice address
2725 E Evans Rd
San Diego, CA 92106-6066
Phone
(619) 955-9690
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Michele M Kazmier, CNM
Title
Founder/Midwife
Phone
(619) 955-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X NMW 1992 CA Primary

Addresses

Primary practice location

2725 E Evans Rd
San Diego, CA 92106-6066

Mailing address

2725 E Evans Rd
San Diego, CA 92106-6066
Phone (619) 955-9690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1275959694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 E EVANS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066066",
            "telephone_number": "619-955-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 E EVANS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066066",
            "telephone_number": "619-955-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER MOON MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "KAZMIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER/MIDWIFE",
        "authorized_official_telephone_number": "619-955-9690",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW 1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.