Individual provider Active NPI

Ondrea Perlman, CNM

  • Advanced Practice Midwife
  • Little Canada, MN
National Provider Identifier
1609184639
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R64099 Issued in NM
Practice address
91 Viking Drive West
Little Canada, MN 55117
Phone
(651) 489-1328
Fax
(651) 489-4127
NPI assigned
Sep 24, 2010
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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 R64099 NM Primary

Addresses

Primary practice location

91 Viking Drive West
Little Canada, MN 55117

Mailing address

91 Viking Dr W
Little Canada, MN 55117-1753
Phone (651) 489-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20120110000650 MN Practitioner - Certified Nurse Midwife (CNM) 5698941862 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R64099NMMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Jul 22, 2015 Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients

Locations

91 Viking Dr W
Little Canada, MN 55117
Phone (651) 489-1328

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1609184639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 VIKING DR W",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171753",
            "telephone_number": "651-489-1328",
            "fax_number": "651-489-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 VIKING DRIVE WEST",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "55117",
            "telephone_number": "651-489-1328",
            "fax_number": "651-489-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "ONDREA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "R64099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Canada, MN

Sources for this page

Verify at the official NPI Registry.