Organization Active NPI

Full Spectrum Midwifery PC

  • Midwife
  • Burlington, VT
National Provider Identifier
1629225149
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
107-0000004 Issued in VT
Legal business name
FULL SPECTRUM MIDWIFERY PC
Practice address
289 College St
Burlington, VT 05401-8320
Phone
(802) 860-2229
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Peggy Lynn Cohen, CPM, LMNPI 1124167119
Title
President
Phone
(802) 860-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 107-0000004 VT Primary

Addresses

Primary practice location

289 College St
Burlington, VT 05401-8320

Mailing address

289 College St
Burlington, VT 05401-8320
Phone (802) 860-2229

Other identifiers 1

IdentifierTypeStateIssuer
1008774MedicaidVT

National Provider Directory

National Provider Directory

Locations

289 College St
Burlington, VT 05401
Phone (802) 860-2229

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1629225149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COLLEGE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018320",
            "telephone_number": "802-860-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 COLLEGE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018320",
            "telephone_number": "802-860-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SPECTRUM MIDWIFERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-860-2229",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VT",
            "license": "107-0000004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008774",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.