Individual provider Active NPI

Sheri Anne Raphaelson, L.M.

  • Midwife
  • Espanola, NM
National Provider Identifier
1396822128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
92229R Issued in NM
Practice address
410 Paseo de Onate
Espanola, NM 87532-3521
Phone
(505) 747-3831
Fax
(505) 753-3468
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 92229R NM Primary

Addresses

Primary practice location

410 Paseo de Onate
Espanola, NM 87532-3521

Mailing address

PO Box 248
Espanola, NM 87532-0248
Phone (505) 747-3831

Other identifiers 1

IdentifierTypeStateIssuer
96625MedicaidNM

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
92229RNMMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396822128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320248",
            "telephone_number": "505-747-3831",
            "fax_number": "505-753-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323521",
            "telephone_number": "505-747-3831",
            "fax_number": "505-753-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAELSON",
        "first_name": "SHERI",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "92229R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96625",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.