Active NPI
Kaitlyn Pults, LM, CPM
- Midwife
- Roswell, NM
National Provider Identifier
1548844616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 22004R
- Practice address
- 406 S Lea Ave
Roswell, NM 88203-4564 - Phone
- (575) 416-5203
- NPI assigned
- May 5, 2021
- Last updated
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 22004R | NM | Primary |
| Doula | 374J00000X | NU |
Addresses
Primary practice location
406 S Lea Ave
Roswell, NM 88203-4564
Mailing address
3000 Bandolina Ave
Roswell, NM 88201-6610
Phone (575) 416-5203
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.threesunsbirth.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22004R | NM | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Suns Birth | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Roswell, NM
- NPI 1902631914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1548844616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 BANDOLINA AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882016610",
"telephone_number": "575-416-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S LEA AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882034564",
"telephone_number": "575-416-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULTS",
"first_name": "KAITLYN",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NM",
"license": "22004R",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.threesunsbirth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3000 Bandolina Ave",
"city": "Roswell",
"state": "NM",
"country_code": "US",
"postal_code": "882016610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.