Active NPI
Morgan Bunch, CDM
- Midwife
- Wasilla, AK
National Provider Identifier
1437807906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 185367
- Practice address
- 2405 S Knik Goose Bay
Wasilla, AK 99654 - Phone
- (907) 841-2565
- NPI assigned
- Mar 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 185367 | AK | Primary |
Addresses
Primary practice location
2405 S Knik Goose Bay
Wasilla, AK 99654
Mailing address
P.O. Box 8744861
Wasilla, AK 99687
Phone (907) 841-2565
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Tablet | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 185367 | AK | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuventate Ak | Single Specialty | Current | Accepting new patients |
| Labor of Love Midwifery, LLC | Single Specialty | Past | Accepting new patients |
Locations
2405 S Knik Goose Bay Rd
Wasilla, AK 99654
Phone (907) 841-2565
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1437807906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8744861",
"city": "WASILLA",
"state": "AK",
"postal_code": "99687",
"telephone_number": "907-841-2565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 S KNIK GOOSE BAY",
"city": "WASILLA",
"state": "AK",
"postal_code": "99654",
"telephone_number": "907-841-2565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "MORGAN",
"credential": "CDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "AK",
"license": "185367",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Tablet",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "EHR",
"address_1": "2405 S Knik Goose Bay",
"city": "Wasilla",
"state": "AK",
"country_code": "US",
"postal_code": "99654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.