Individual provider Active NPI

Kimberly N. Delay, CPM, LM

  • Midwife
  • Burlington, WI
National Provider Identifier
1578868451
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
48-49 Issued in WI
Practice address
33511 S Lakeshore Dr
Burlington, WI 53105-9292
Phone
(262) 977-3070
Fax
(262) 458-4105
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 48-49 WI Primary

Addresses

Primary practice location

33511 S Lakeshore Dr
Burlington, WI 53105-9292

Mailing address

33511 S Lakeshore Dr
Burlington, WI 53105-9292
Phone (262) 977-3070

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

LicenseStateTypeSpecialty
48-49WIMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1578868451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33511 S LAKESHORE DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531059292",
            "telephone_number": "262-977-3070",
            "fax_number": "262-458-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33511 S LAKESHORE DR",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531059292",
            "telephone_number": "262-977-3070",
            "fax_number": "262-458-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAY",
        "first_name": "KIMBERLY",
        "middle_name": "N.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "48-49",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.