Moira Allison Tannenbaum, C.N.M., R.N.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704216874 Issued in MI

Practice address

3185 Oakwood St
Ann Arbor, MI 48104-6667

Phone

(734) 975-1402

NPI assigned

Nov 4, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1467789990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 OAKWOOD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046667",
            "telephone_number": "734-975-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 OAKWOOD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046667",
            "telephone_number": "734-975-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "MOIRA",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "C.N.M., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MI",
            "license": "4704216874",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "MI",
            "license": "4704216874",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704216874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810025733",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Dexter Tang
• Regan Tang
• Theresa Tanin, MASCN
• Tannenbaum Chiropractic LLC
• Michael G Tannenbaum, DC
• Tanner Schudlich Social Work, PLLC
• Tans Medical Service P C
• Linda Dian Tansil, LMSW
• Nicole Renee Tantipitham, CRNA
• Iulia Tapescu, MD, PHD

• Advanced Practice Midwife in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.