Active NPI
Full Circle Women's Health and Birth
- Advanced Practice Midwife
- Chicago, IL
National Provider Identifier
1437390523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209.006855
- Legal business name
- FULL CIRCLE WOMEN'S HEALTH AND BIRTH
- Practice address
- 1961 W Farragut Ave
2ND Floor
Chicago, IL 60640-1382 - Phone
- (713) 569-5997
- NPI assigned
- Mar 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Amy E Willen, CNM
- Title
- Certified Nurse Midwife / Owner
- Phone
- (713) 569-5997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 209.006855 | IL | Primary |
Addresses
Primary practice location
1961 W Farragut Ave
2ND Floor
Chicago, IL 60640-1382
Mailing address
1961 W Farragut Ave
2ND Floor
Chicago, IL 60640-1382
Phone (713) 569-5997
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237420800000",
"number": "1437390523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 W FARRAGUT AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401382",
"telephone_number": "713-569-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 W FARRAGUT AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401382",
"telephone_number": "713-569-5997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE WOMEN'S HEALTH AND BIRTH",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A",
"authorized_official_last_name": "WILLEN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE / OWNER",
"authorized_official_telephone_number": "713-569-5997",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209.006855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.