Moonstone Midwives Inc.

Primary specialty

MidwifeTaxonomy code 176B00000X

License

361 Issued in CA

Legal business name

MOONSTONE MIDWIVES INC.

Doing business as

Moonstone Midwives Birth Center

Practice address

4677 Valley East Blvd
Arcata, CA 95521-4630

Phone

(707) 223-1638

NPI assigned

Oct 29, 2015

Organization subpart

No

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

Authorized official

Name

Laura Elizabeth Doyle, LM, CPM

Title

Vice-President

Phone

(707) 223-1638

Specialties & licenses 1

Addresses

Other names 1

• Moonstone Midwives Birth Center Doing business as

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1376915314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4677 VALLEY EAST BLVD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214630",
            "telephone_number": "707-223-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4677 VALLEY EAST BLVD",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955214630",
            "telephone_number": "707-223-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE MIDWIVES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "707-223-1638",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonstone Midwives Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Derrick Monfort, LCSW
• Jessica Brutocao-Kemp Montague, LCSW
• Danette Rachelle Montano, MA, BCBA
• Israel Montano
• Christine Ann Montgomery
• James Henry Moore, PT
• Shannon Moore
• Velvajean Moore
• Chavely Morales Martinez
• Ananda Morehead, CPM, LM

• Midwife in Arcata, CA
• Providers in Arcata, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.