Active NPI
Haven Midwifery and Birth Center
- Birthing Clinic/Center
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- License
- 105776
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bethel Lyn Belisle, CDM, CPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1678481 | Medicaid | AK | |
| 1022088 | Medicaid | AK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2147529 | Haven Midwifery and Birth Center | Certificate of waiver | Apr 19, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Haven Midwifery and Birth Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Midwife
- Palmer, AK
- NPI 1407563570
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.
-
- Midwife
- Anchorage, AK
- NPI 1780942698
-
- Midwife
- Anchorage, AK
- NPI 1285447169
-
- Midwife
- Anchorage, AK
- NPI 1821503319
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.