Active NPI
Adrienne C Brown, LM, CPM
- Midwife
- Holladay, UT
National Provider Identifier
1386649309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 7822984-3400
- Practice address
- 6440 S Wasatch Blvd Ste 140
Holladay, UT 84121 - Phone
- (435) 633-3626
- NPI assigned
- Jun 16, 2005
- Last updated
- May 18, 2018
- 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 | 7822984-3400 | UT | Primary |
Addresses
Primary practice location
6440 S Wasatch Blvd Ste 140
Holladay, UT 84121
Mailing address
6440 S Wasatch Blvd Ste 140
Holladay, UT 84121-3539
Phone (435) 633-3626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011070 | Medicaid | VT |
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 |
|---|---|---|---|
| 7822984-3400 | UT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Midwifery Center, LLC | Past | Accepting new patients | |
| Wasatch Midwifery and Wellness, LLC | Midwife | Past | Accepting new patients |
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.
-
- Midwife
- Holladay, UT
- NPI 1912430588
-
- Birthing Clinic/Center
- Holladay, UT
- NPI 1679006241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1386649309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 S WASATCH BLVD STE 140",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841213539",
"telephone_number": "435-633-3626",
"fax_number": "801-281-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6440 S WASATCH BLVD STE 140",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "84121",
"telephone_number": "435-633-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ADRIENNE",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "7822984-3400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011070",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holladay, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.