Organization Active NPI

Sacred Journey Midwifery LLC

  • Advanced Practice Midwife
  • Goshen, IN
National Provider Identifier
1285234351
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
SACRED JOURNEY MIDWIFERY LLC
Practice address
111 W Washington St
Goshen, IN 46526-3728
Phone
(385) 274-6526
Fax
(574) 807-9575
NPI assigned
Oct 28, 2020
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Betsy M McCanse, APN, CNMNPI 1184055055
Title
Owner
Phone
(385) 274-6526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

111 W Washington St
Goshen, IN 46526-3728

Mailing address

111 W Washington St
Goshen, IN 46526-3728
Phone (385) 274-6526

National Provider Directory

National Provider Directory

Locations

111 W Washington St
Goshen, IN 46526
Phone (385) 274-6526

1155 Lighthouse Ln
Goshen, IN 46526
Phone (574) 971-4840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1285234351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263728",
            "telephone_number": "385-274-6526",
            "fax_number": "574-807-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W WASHINGTON ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263728",
            "telephone_number": "385-274-6526",
            "fax_number": "574-807-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED JOURNEY MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "MCCANSE",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-274-6526",
        "authorized_official_credential": "APN, CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.