Active NPI
Abigail Ruth Wolf, LDEM
- Midwife
- Bozeman, MT
National Provider Identifier
1376210906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 2297
- Practice address
- 7600 Shedhorn Dr
Bozeman, MT 59718-9462 - Phone
- (406) 600-9938
- Fax
- (406) 219-5991
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 2297 | MT | Primary |
Addresses
Primary practice location
7600 Shedhorn Dr
Bozeman, MT 59718-9462
Mailing address
89 Cameron Loop
Bozeman, MT 59718
Phone (406) 600-9938
Other names 1
- Abigail Wolf
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 |
|---|---|---|---|
| 2297 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1376210906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 CAMERON LOOP",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "59718",
"telephone_number": "406-600-9938",
"fax_number": "406-219-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 SHEDHORN DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597189462",
"telephone_number": "406-600-9938",
"fax_number": "406-219-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ABIGAIL",
"middle_name": "RUTH",
"credential": "LDEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MT",
"license": "2297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "WOLF",
"credential": "LDEM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.