Nurtured Birth and Wellness LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

NURTURED BIRTH AND WELLNESS LLC

Practice address

855 Sand Dollar Dr
Kenai, AK 99611-8818

Phone

(907) 299-7140

Fax

(833) 709-5742

NPI assigned

Jan 29, 2020

Last updated

Jan 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Karleen Fisk, CDM, CPMNPI 1083275671

Title

Chief Executive Officer

Phone

(907) 299-7140

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Susan Karleen Fisk, CPM

  • Midwife
  • Kenai, AK
  • NPI 1083275671
  NPD (past) Authorized official

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1295366110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SAND DOLLAR DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118818",
            "telephone_number": "907-299-7140",
            "fax_number": "833-709-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAND DOLLAR DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118818",
            "telephone_number": "907-299-7140",
            "fax_number": "833-709-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED BIRTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KARLEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "907-299-7140",
        "authorized_official_credential": "CDM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Kenai, AK
• Providers in Kenai, AK by specialty
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.