Individual provider Active NPI

Emelina Marta Leeson, CPM/LM

  • Midwife
  • Madison, WI
National Provider Identifier
1407608953
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
328-49 Issued in WI
Practice address
159 S Fair Oaks Ave
Madison, WI 53704-5820
Phone
(608) 843-3204
Fax
(608) 571-0021
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 328-49 WI Primary

Addresses

Primary practice location

159 S Fair Oaks Ave
Madison, WI 53704-5820

Mailing address

1417 Drewry LN
Madison, WI 53704-2101
Phone (608) 843-3204

Other names 1

  • Emelina Marta Spransy Former name

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
328-49WIMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1407608953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DREWRY LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042101",
            "telephone_number": "608-843-3204",
            "fax_number": "608-571-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S FAIR OAKS AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045820",
            "telephone_number": "608-843-3204",
            "fax_number": "608-571-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESON",
        "first_name": "EMELINA",
        "middle_name": "MARTA",
        "credential": "CPM/LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "328-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMELINA",
            "last_name": "SPRANSY",
            "middle_name": "MARTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.