Blue Moon Midwives LLC, PA

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

R030353 Issued in ME

Legal business name

BLUE MOON MIDWIVES LLC, PA

Practice address

176 Main St
Norway, ME 04268-5643

Phone

(207) 739-2800

Fax

(207) 739-2877

NPI assigned

Oct 26, 2005

Last updated

Aug 22, 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

Ms. Jane E Mills, CNM

Title

Partner

Phone

(207) 739-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336139757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "207-739-2800",
            "fax_number": "207-739-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685643",
            "telephone_number": "207-739-2800",
            "fax_number": "207-739-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOON MIDWIVES LLC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "207-739-2800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "R030353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Whitehead Bennett, OT
• Danica Leigh Best, FNP-C
• Craig Joseph Biebel, DO
• Maureen Bilodeau, LCPC-C
• Jennifer Rebecca Blastow, NP-C
• Gail M Boaz, APRN
• Carley Anne Boivin Packard, PTA
• David C Boothby, LCPC
• Colleen Bossie, PHARMD
• Scott Bottomley

• Advanced Practice Midwife in Norway, ME
• Providers in Norway, ME by specialty
• Advanced Practice Midwife in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.