Individual provider Active NPI

Stacey Vigilante

  • Midwife
  • Sitka, AK
National Provider Identifier
1396478129
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
194925 Issued in AK
Practice address
2515 Sawmill Creek Rd
Sitka, AK 99835-9712
Phone
(907) 314-0463
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X 194925 AK Primary

Addresses

Primary practice location

2515 Sawmill Creek Rd
Sitka, AK 99835-9712

Mailing address

2515 Sawmill Creek Rd
Sitka, AK 99835-9712
Phone (907) 314-0463

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mtedgecumbemidwifery@gmail.com Direct

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
194925AKMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1396478129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 SAWMILL CREEK RD",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359712",
            "telephone_number": "907-314-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 SAWMILL CREEK RD",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359712",
            "telephone_number": "907-314-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGILANTE",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "AK",
            "license": "194925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mtedgecumbemidwifery@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2515 Sawmill Creek Rd",
            "city": "Sitka",
            "state": "AK",
            "country_code": "US",
            "postal_code": "998359712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.