Individual provider Active NPI

Julie M Laberteaux-Medina, CNM

  • Advanced Practice Midwife
  • Reedley, CA
National Provider Identifier
1528061298
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW1504 Issued in CA
Practice address
925 G St
Reedley, CA 93654-2626
Phone
(559) 493-5307
Fax
(559) 553-6269
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW1504 CA Primary

Addresses

Primary practice location

925 G St
Reedley, CA 93654-2626

Mailing address

P.O. Box 151
Reedley, CA 93654-0151
Phone (559) 493-5307

Other identifiers 2

IdentifierTypeStateIssuer
GR0085541MedicaidCA
GR0085540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000467 CA Practitioner - Certified Nurse Midwife (CNM) 2365472040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NMW1504CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Dec 27, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Dec 27, 2022 Accepting new patients
Reedley Community Hospital Past Accepting new patients

Locations

729 N Medical Center Dr W
Ste 205
Clovis, CA 93611
Phone (559) 299-7700

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1528061298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 151",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936540151",
            "telephone_number": "559-493-5307",
            "fax_number": "559-553-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 G ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542626",
            "telephone_number": "559-493-5307",
            "fax_number": "559-553-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABERTEAUX-MEDINA",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085541",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.