Active NPI
Pamela J Reis, CNM, MSN
- Advanced Practice Midwife
- Raleigh, NC
National Provider Identifier
1447301502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM093
- Practice address
- 10 Sunnybrook Rd
Raleigh, NC 27610-1808 - Phone
- (919) 250-4701
- Fax
- (919) 212-7350
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM093 | NC | Primary |
Addresses
Primary practice location
10 Sunnybrook Rd
Raleigh, NC 27610-1808
Mailing address
10 Sunnybrook Road
Clinic G - Prenatal
Raleigh, NC 27610-1808
Phone (919) 250-4701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CNM093 | Other | NC | LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM093 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1447301502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK ROAD",
"address_2": "CLINIC G - PRENATAL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-250-4701",
"fax_number": "919-212-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SUNNYBROOK RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101808",
"telephone_number": "919-250-4701",
"fax_number": "919-212-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "PAMELA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "CNM093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "CNM093",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.