Organization Active NPI

Haven Midwifery and Birth Center

  • Birthing Clinic/Center
  • Anchorage, AK
National Provider Identifier
1497251789
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
105776 Issued in AK
Legal business name
HAVEN MIDWIFERY AND BIRTH CENTER
Practice address
4050 Lake Otis Pkwy Ste 111
Anchorage, AK 99508-5224
Phone
(907) 444-3027
Fax
(844) 621-5905
NPI assigned
Apr 4, 2018
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Bethel Lyn Belisle, CDM, CPMNPI 1780942698
Title
President
Phone
(907) 444-3027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 105776 AK
Birthing Clinic/Center 261QB0400X 126457 AK
Birthing Clinic/Center 261QB0400X 105776 AK Primary

Addresses

Primary practice location

4050 Lake Otis Pkwy Ste 111
Anchorage, AK 99508-5224

Mailing address

12901 Von Scheben Dr
Anchorage, AK 99516-3268
Phone (907) 444-3027

Other practice location 1

6930 E Lower Mesa Dr
Palmer, AK 99645-7711
Phone (907) 444-3027

Other identifiers 2

IdentifierTypeStateIssuer
1678481MedicaidAK
1022088MedicaidAK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2147529Haven Midwifery and Birth Center4050 Lake Otis Parkway, Ste 111, Anchorage, AK 99508Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Haven Midwifery and Birth Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1497251789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 VON SCHEBEN DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995163268",
            "telephone_number": "907-444-3027",
            "fax_number": "844-621-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 LAKE OTIS PKWY STE 111",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085224",
            "telephone_number": "907-444-3027",
            "fax_number": "844-621-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6930 E Lower Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457711",
            "country_code": "US",
            "telephone_number": "907-444-3027",
            "fax_number": "844-621-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVEN MIDWIFERY AND BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "BELISLE",
        "authorized_official_first_name": "BETHEL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-444-3027",
        "authorized_official_credential": "CDM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "105776",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "AK",
            "license": "126457",
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "AK",
            "license": "105776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678481",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022088",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.