Individual provider Active NPI

Michele Manetta Kazmier, CNM, MS, ARNP

  • Midwife
  • Encinitas, CA
National Provider Identifier
1316149784
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NMW1992 Issued in CA
Practice address
617 Saxony PL Ste 103
Encinitas, CA 92024-2797
Phone
(619) 345-4367
Fax
(760) 692-4812
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NMW1992 CA Primary

Addresses

Primary practice location

617 Saxony PL Ste 103
Encinitas, CA 92024-2797

Mailing address

5 Wharton Rd
San Diego, CA 92140-5004
Phone (619) 808-3012

Other practice location 1

1951 SW 172nd Ave Ste 408
Miramar, FL 33029-5614
Phone (954) 447-2704

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
Credentials
Certified Nurse Midwife, Master of Science

State licenses

LicenseStateTypeSpecialty
NMW1992CAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Private Healthcare Facilities Past Accepting new patients
National Birth Centers Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1316149784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WHARTON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405004",
            "telephone_number": "619-808-3012",
            "fax_number": "760-692-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 SAXONY PL STE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242797",
            "telephone_number": "619-345-4367",
            "fax_number": "760-692-4812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295614",
            "country_code": "US",
            "telephone_number": "954-447-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAZMIER",
        "first_name": "MICHELE",
        "middle_name": "MANETTA",
        "name_prefix": "Mrs.",
        "credential": "CNM, MS, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "NMW1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.