Individual provider Active NPI

Codruta Vizoli-Hoover, APRN, CNM

  • Midwife
  • Saint Paul, MN
National Provider Identifier
1376227504
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
536 Issued in MN
Practice address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone
(651) 696-5674
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 536 MN Primary

Addresses

Primary practice location

671 Vandalia St
Saint Paul, MN 55114-1312

Mailing address

3955 Oxford Dr
Woodbury, MN 55125-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919003400 MN Practitioner - Certified Nurse Midwife (CNM) 7416311733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Jul 13, 2023 Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota Past Accepting new patients

Locations

15322 Galaxie Ave
Ste 105
Apple Valley, MN 55124
Phone (952) 890-0940

1001 E Central Entrance
Ste 200
Duluth, MN 55811
Phone (218) 722-0833

91 Viking Dr W
Little Canada, MN 55117
Phone (651) 489-1328

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

7532 Brooklyn Blvd
Minneapolis, MN 55443
Phone (763) 560-1555

6527 Lyndale Ave S
Richfield, MN 55423
Phone (612) 874-1420

451 E Saint Germain St
Ste 100
Saint Cloud, MN 56304
Phone (320) 252-9504

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

1795 Radio Dr
Ste D
Woodbury, MN 55125
Phone (651) 696-5550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1376227504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 OXFORD DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141312",
            "telephone_number": "651-696-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZOLI-HOOVER",
        "first_name": "CODRUTA",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.