Organization Active NPI

Eagle Mountain Midwife LLC

  • Advanced Practice Midwife
  • Eagle Mountain, UT
National Provider Identifier
1598101313
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
EAGLE MOUNTAIN MIDWIFE LLC
Practice address
1229 Raven Way
Eagle Mountain, UT 84005-6147
Phone
(801) 472-8567
NPI assigned
May 20, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Michael Allan
Title
Midwife
Phone
(801) 671-8589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

1229 Raven Way
Eagle Mountain, UT 84005-6147

Mailing address

1229 Raven Way
Eagle Mountain, UT 84005-6147
Phone (801) 472-8567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1598101313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 RAVEN WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056147",
            "telephone_number": "801-472-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 RAVEN WAY",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056147",
            "telephone_number": "801-472-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MOUNTAIN MIDWIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "801-671-8589"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.