Individual provider Active NPI

Michelle Dawn Edgar, L.M.

  • Midwife
  • Berkeley, CA
National Provider Identifier
1407001969
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM237 Issued in CA
Practice address
3101 Telegraph Ave
Berkeley, CA 94705-1984
Phone
(510) 280-5543
Fax
(510) 255-2058
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X CA
Midwife 176B00000X LM237 CA Primary

Addresses

Primary practice location

3101 Telegraph Ave
Berkeley, CA 94705-1984

Mailing address

2910 Camino Diablo Ste 140
Walnut Creek, CA 94597-3801
Phone (510) 655-2229

Other practice location 1

2910 Camino Diablo Ste 140
Walnut Creek, CA 94597-3801
Phone (510) 655-2229

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
LM237CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1407001969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CAMINO DIABLO STE 140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973801",
            "telephone_number": "510-655-2229",
            "fax_number": "510-845-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 TELEGRAPH AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051984",
            "telephone_number": "510-280-5543",
            "fax_number": "510-255-2058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Camino Diablo Ste 140",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945973801",
            "country_code": "US",
            "telephone_number": "510-655-2229",
            "fax_number": "510-845-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.