Rebecca L Amberg, LM RN
Individual provider Active NPI Midwife · Black River Falls, WI
NPI 1285921080 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1285921080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 275-49 (WI)
- Practice address
- 502 Main St
Black River Falls, WI 54615 - Phone
- (608) 387-0153
- Fax
- (715) 284-2003
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147290-30 | WI | MD | Registered Nurse |
| 275-49 | WI | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints in Time Midwifery Services LLC | Current |
Accepting new patients |
Locations
502 Main St
Blk River Fls, WI 54615
Phone (715) 284-2003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 147290-30 | WI | |
| Midwife | 176B00000X | 275-49 | WI | Yes |
Addresses
Primary practice location
502 Main St
Black River Falls, WI 54615
Mailing address
502 Main St
Black River Falls, WI 54615-1648
Phone (608) 387-0153
Other practice location 1
351 N Water St
Black River Falls, WI 54615-1019
Phone (608) 387-0153
Other names
- Rebecca L Armstrong
Other providers in Black River Falls, WI
- Kenneth Paul Adler
- Advanced Chiropractic and Laser Centers, Inc
- Advanced Chiropractic Clinics Inc
- Advanced Mobility LLC
- Autumn L Alekna
- Kevin M Anderson
- Rebecca H Anderson
- Jeremy S Anger
- Darrin Antonelli
- Stacy L. Armitage
All providers in Black River Falls, WI · Midwife in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.