Individual provider Active NPI

Deanna Hope Berman, ND,CM

  • Midwife
  • Ithaca, NY
National Provider Identifier
1376682328
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CM00195 Issued in NY
Practice address
206 Rachel Carson Way
Ithaca, NY 14850-8402
Phone
(607) 351-7808
Fax
(844) 478-9726
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099.0099621 VT
Midwife 176B00000X CM00195 NY Primary

Addresses

Primary practice location

206 Rachel Carson Way
Ithaca, NY 14850-8402

Mailing address

206 Rachel Carson Way
Ithaca, NY 14850-8402
Phone (607) 351-7808

Other practice location 1

1181 North Ave
Beacon, NY 12508-1700
Phone (607) 351-7808

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

LicenseStateTypeSpecialty
099.0099621VTMDNaturopath
CM00195NYMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1376682328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 RACHEL CARSON WAY",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508402",
            "telephone_number": "607-351-7808",
            "fax_number": "844-478-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 RACHEL CARSON WAY",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508402",
            "telephone_number": "607-351-7808",
            "fax_number": "844-478-9726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 North Ave",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125081700",
            "country_code": "US",
            "telephone_number": "607-351-7808",
            "fax_number": "844-478-9726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "DEANNA",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "ND,CM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0099621",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "CM00195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.