Active NPI
Country Life Midwifery Services
- Midwife
- Pegram, TN
National Provider Identifier
1306086855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CPM0000000007
- Legal business name
- COUNTRY LIFE MIDWIFERY SERVICES
- Practice address
- 4554 Hilltop Road
Pegram, TN 37143 - Phone
- (615) 646-7300
- Fax
- (615) 646-7331
- NPI assigned
- Feb 24, 2009
- Last updated
- Feb 24, 2009
- Organization subpart
- Yes
- Parent organization
- LIFESTYLE MINISTRIES INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heather Yvone Wilson, CNM
- Title
- Midwifery
- Phone
- (615) 646-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CPM0000000007 | TN | Primary |
Addresses
Primary practice location
4554 Hilltop Road
Pegram, TN 37143
Mailing address
4554 Hilltop Road
Pegram, TN 37143
Phone (615) 646-7300
National Provider Directory
National Provider Directory- Tax ID family
- Lifestyle Ministries Inc
- Part of
- Lifestyle Ministries Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235433600000",
"number": "1306086855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4554 HILLTOP ROAD",
"city": "PEGRAM",
"state": "TN",
"postal_code": "37143",
"telephone_number": "615-646-7300",
"fax_number": "615-646-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4554 HILLTOP ROAD",
"city": "PEGRAM",
"state": "TN",
"postal_code": "37143",
"telephone_number": "615-646-7300",
"fax_number": "615-646-7331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTRY LIFE MIDWIFERY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFESTYLE MINISTRIES INCORPORATED",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "YVONE",
"authorized_official_title_or_position": "MIDWIFERY",
"authorized_official_telephone_number": "615-646-7300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "TN",
"license": "CPM0000000007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pegram, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.