Individual provider Active NPI

Mylie Raine Laing, CMP

  • Midwife
  • Tremonton, UT
National Provider Identifier
1295465227
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
11029 N Wallace LN
Tremonton, UT 84337-9543
Phone
(435) 237-2179
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

11029 N Wallace LN
Tremonton, UT 84337-9543

Mailing address

11029 N Wallace LN
Tremonton, UT 84337-9543
Phone (435) 237-2179

Other practice location 1

5319 S 500 E Ste C
Ogden, UT 84405-7218
Phone (801) 917-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1295465227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 N WALLACE LN",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843379543",
            "telephone_number": "435-237-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11029 N WALLACE LN",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843379543",
            "telephone_number": "435-237-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5319 S 500 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844057218",
            "country_code": "US",
            "telephone_number": "801-917-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAING",
        "first_name": "MYLIE",
        "middle_name": "RAINE",
        "credential": "CMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremonton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.