Active NPI
Brenda M Sanborn, CNM
- Midwife
- Manchester, NH
National Provider Identifier
1487771895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 020455-21
- Practice address
- 150 Tarrytown Rd
Manchester, NH 03103-2713 - Phone
- (603) 622-3162
- Fax
- (603) 622-8677
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 020455-21 | NH | Primary |
Addresses
Primary practice location
150 Tarrytown Rd
Manchester, NH 03103-2713
Mailing address
150 Tarrytown Road
Manchester, NH 03103-2713
Phone (603) 622-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020455-21 | NH | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1487771895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 TARRYTOWN ROAD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032713",
"telephone_number": "603-622-3162",
"fax_number": "603-622-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TARRYTOWN RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031032713",
"telephone_number": "603-622-3162",
"fax_number": "603-622-8677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "BRENDA",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NH",
"license": "020455-21",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.