Raquel L. Dibble, CNM, P.C.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

278411 Issued in UT

Legal business name

RAQUEL L. DIBBLE, CNM, P.C.

Practice address

980 Medical Dr
Suite 1
Brigham City, UT 84302-3094

Phone

(435) 723-6191

Fax

(435) 723-7797

NPI assigned

Dec 15, 2008

Organization subpart

No

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

Authorized official

Name

Raquel L Dibble, C.N.M.

Title

Owner

Phone

(435) 723-6191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1356586622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023094",
            "telephone_number": "435-723-6191",
            "fax_number": "435-723-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MEDICAL DR",
            "address_2": "SUITE 1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023094",
            "telephone_number": "435-723-6191",
            "fax_number": "435-723-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAQUEL L. DIBBLE, CNM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "DIBBLE",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-723-6191",
        "authorized_official_credential": "C.N.M."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "278411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caleb Jordan Rasmussen
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• Joan C Rasmussen, LCSW
• Julie Ratner

• Advanced Practice Midwife in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Advanced Practice Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.