Individual provider Active NPI

Ivy Nicole Hummon, LM, CPM

  • Lay Midwife
  • Cape Haze, FL
National Provider Identifier
1629305461
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
MW 232 Issued in FL
Practice address
8413 Placida Rd Unit 304
Cape Haze, FL 33946-2462
Phone
(413) 519-2568
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X MW 232 FL Primary

Addresses

Primary practice location

8413 Placida Rd Unit 304
Cape Haze, FL 33946-2462

Mailing address

8413 Placida Rd Unit 304
Cape Haze, FL 33946-2462
Phone (413) 519-2568

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
MW 232FLMDLay Midwife

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1629305461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8413 PLACIDA RD UNIT 304",
            "city": "CAPE HAZE",
            "state": "FL",
            "postal_code": "339462462",
            "telephone_number": "413-519-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8413 PLACIDA RD UNIT 304",
            "city": "CAPE HAZE",
            "state": "FL",
            "postal_code": "339462462",
            "telephone_number": "413-519-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMON",
        "first_name": "IVY",
        "middle_name": "NICOLE",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "FL",
            "license": "MW 232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.