Earthsong Integrative Medicine and Midwifery, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

983 Issued in AK

Legal business name

EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC

Practice address

1601 Salmon Creek LN
Juneau, AK 99801-7867

Phone

(907) 957-6597

Fax

(833) 689-9875

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca Marie Van de Water, APRN, CNMNPI 1598958555

Title

Owner

Phone

(907) 957-6597

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Marie Vandewater, APRN, CNM

  • Advanced Practice Midwife
  • Juneau, AK
  • NPI 1598958555
  NPD Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1619333788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "SOUTH EGREMONT",
            "state": "MA",
            "postal_code": "012580006",
            "telephone_number": "907-957-6597",
            "fax_number": "833-689-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017867",
            "telephone_number": "907-957-6597",
            "fax_number": "833-689-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHSONG INTEGRATIVE MEDICINE AND MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "VAN DE WATER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-957-6597",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, CNM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AK",
            "license": "983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022737",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Dunn
• Taylor Michael Dunn, M.D.
• Marcia L Durham, PHARMD
• Cassie Dzinich, RN
• Kathryn Fuller Earle, PA-C
• Alondra Echiverri
• Stacie Eckenstein
• John Richard Ellenbecker Jr., D.D.S.
• Kaylene D Elliott, RN
• Jeanette Rae Ely, RDN

• Primary Care Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.