Active NPI
Constance Iha Miles, LM CPM RN
- Midwife
- Sebastopol, CA
National Provider Identifier
1487852877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM55
- Practice address
- 14377 Morelli Lane
Sebastopol, CA 95472 - Phone
- (707) 874-2888
- Fax
- (707) 874-2888
- NPI assigned
- Jul 6, 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 | LM55 | CA | Primary |
Addresses
Primary practice location
14377 Morelli Lane
Sebastopol, CA 95472
Mailing address
14377 Morelli Lane
Sebastopol, CA 95472
Phone (707) 874-2888
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM55 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487852877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14377 MORELLI LANE",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "707-874-2888",
"fax_number": "707-874-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14377 MORELLI LANE",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "95472",
"telephone_number": "707-874-2888",
"fax_number": "707-874-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "CONSTANCE",
"middle_name": "IHA",
"name_prefix": "Mrs.",
"credential": "LM CPM RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM55",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.