Footprints in Time Midwifery Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC

Practice address

502 Main St
Black River Falls, WI 54615-1648

Phone

(715) 284-2003

Fax

(844) 285-4399

NPI assigned

Aug 11, 2011

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca L Amberg, RNNPI 1285921080

Title

Owner

Phone

(715) 284-2003

Specialties & licenses 3

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca L Amberg, LM RN

  • Midwife
  • Black River Falls, WI
  • NPI 1285921080
  NPD Authorized official
• Kati Jean Ghess, DC

  • Chiropractor
  • Greenwood, WI
  • NPI 1639695745
  NPD
• Kathleen M Kett, CNM

  • Advanced Practice Midwife
  • Black River Falls, WI
  • NPI 1689670994
  NPD
• Callie Mae Horstman, DC

  • Chiropractor
  • Holmen, WI
  • NPI 1831676360
  NPD (past)

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1437438157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151648",
            "telephone_number": "715-284-2003",
            "fax_number": "715-284-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151648",
            "telephone_number": "715-284-2003",
            "fax_number": "844-285-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 N Main St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "WI",
            "postal_code": "544379419",
            "country_code": "US",
            "telephone_number": "715-284-2003",
            "fax_number": "844-285-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOTPRINTS IN TIME MIDWIFERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "AMBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-284-2003",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REBECCA (BECKY) REGISTERED NURSE",
            "identifier": "147290-30",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRICIA JACOBSON NPI",
            "identifier": "1689608010",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI RN LICENSE",
            "identifier": "63651-30",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI APNP LICENSE",
            "identifier": "992-33",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Megan Field
• Steven J Firkins, MS, LCSW,CSAC
• Charlotte Ann Fleischmann, RN
• Forrest Hills LLC.
• Foster Primary Eye Care
• Foster Primary Eye Care LTD
• Dana Lee French, LMFT
• Emily A Fuhs, DPT

• Nurse Practitioner in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.