NPIMap

Organization Active NPI

Birthwise Maternity Care, LC

  • Midwife
  • Layton, UT
National Provider Identifier
1336356575
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
6164811-3400 Issued in UT
Legal business name
BIRTHWISE MATERNITY CARE, LC
Practice address
360 S Fort LN
Suite 1B
Layton, UT 84041-4259
Phone
(801) 928-9089
Fax
(801) 546-3207
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Janell Peterson, LDEM, CPM
Title
Member
Phone
(801) 928-9089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 6164811-3400 UT Primary

Addresses

Primary practice location

360 S Fort LN
Suite 1B
Layton, UT 84041-4259

Mailing address

360 S Fort LN
Suite 1B
Layton, UT 84041-4259
Phone (801) 928-9089

National Provider Directory

National Provider Directory
Tax ID family
Birthwise Maternity Care LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1336356575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S FORT LN",
            "address_2": "SUITE 1B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414259",
            "telephone_number": "801-928-9089",
            "fax_number": "801-546-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S FORT LN",
            "address_2": "SUITE 1B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414259",
            "telephone_number": "801-928-9089",
            "fax_number": "801-546-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHWISE MATERNITY CARE, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-928-9089",
        "authorized_official_credential": "LDEM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "UT",
            "license": "6164811-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.