Korina Mae Bauer, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99-49 Issued in WI

Practice address

105 Pine Crest LN Ste D
Iola, WI 54945-8230

Phone

(715) 853-2082

NPI assigned

Feb 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Korina Mae Bauer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1316306459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S ANDREWS ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662902",
            "telephone_number": "715-853-2082",
            "fax_number": "866-933-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PINE CREST LN STE D",
            "city": "IOLA",
            "state": "WI",
            "postal_code": "549458230",
            "telephone_number": "715-853-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KORINA",
        "middle_name": "MAE",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "99-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORINA",
            "last_name": "BAUER",
            "middle_name": "MAE",
            "credential": "RN CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Iola, WI
• Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.