Active NPI
Angella Mendenhall, CPM, LDEM
- Lay Midwife
- Orem, UT
National Provider Identifier
1336787373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 9643962-3400
- Practice address
- 659 S 1160 W
Orem, UT 84058-5908 - Phone
- (801) 427-8639
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | |||
| Lay Midwife | 175M00000X | 9643962-3400 | UT | Primary |
Addresses
Primary practice location
659 S 1160 W
Orem, UT 84058-5908
Mailing address
659 S 1160 W
Orem, UT 84058-5908
Phone (801) 427-8639
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9643962-3400 | UT | MD | Lay Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Hands Maternity and Wellness | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Birthing Clinic/Center
- Orem, UT
- NPI 1972260073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1336787373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 S 1160 W",
"city": "OREM",
"state": "UT",
"postal_code": "840585908",
"telephone_number": "801-427-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 S 1160 W",
"city": "OREM",
"state": "UT",
"postal_code": "840585908",
"telephone_number": "801-427-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDENHALL",
"first_name": "ANGELLA",
"credential": "CPM, LDEM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": false
},
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "UT",
"license": "9643962-3400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.