Stacie C Hunt, CPM

Individual provider Active NPI Midwife · Leoma, TN

NPI 1447411541 · NPPES record last updated Jun 20, 2008

Key facts

NPI
1447411541
Entity type
Individual (NPI type 1)
Primary specialty
Midwife 176B00000X
License
CPM00000000043 (TN)
Practice address
15 Shoally Branch Cir
Leoma, TN 38468-5078
Phone
(931) 629-5043
NPI assigned
Jun 20, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CPM00000000043TNMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Woman Birth and Wellness Midwife Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CPM00000000043 TN Yes

Addresses

Primary practice location

15 Shoally Branch Cir
Leoma, TN 38468-5078

Mailing address

15 Shoally Branch Cir
Leoma, TN 38468-5078
Phone (931) 629-5043

Other providers in Leoma, TN

All providers in Leoma, TN · Midwife in Tennessee

Sources for this page

Verify at the official NPI Registry.