Active NPI
Providence Midwifery
- Midwife
- Middletown, VA
National Provider Identifier
1639862964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Legal business name
- PROVIDENCE MIDWIFERY
- Doing business as
- Providence Midwifery
- Practice address
- 7760 Main St
Middletown, VA 22645-9500 - Phone
- (760) 208-5860
- NPI assigned
- Jun 1, 2023
- Last updated
- Dec 9, 2023
- Organization subpart
- Yes
- Parent organization
- HUMANAE VITAE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Teresa Michelle Davidson, LM, CPM
- Title
- Executive Director, Midwife
- Phone
- (650) 622-7069
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | NU | Primary |
Addresses
Primary practice location
7760 Main St
Middletown, VA 22645-9500
Mailing address
7760 Main St
Middletown, VA 22645-9500
Phone (540) 622-7069
Other names 1
- Providence Midwifery
National Provider Directory
National Provider Directory- Part of
- Providence Midwifery
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Midwife
- Middletown, VA
- NPI 1568095206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702080000000",
"number": "1639862964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7760 MAIN ST",
"city": "MIDDLETOWN",
"state": "VA",
"postal_code": "226459500",
"telephone_number": "540-622-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7760 MAIN ST",
"city": "MIDDLETOWN",
"state": "VA",
"postal_code": "226459500",
"telephone_number": "760-208-5860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE MIDWIFERY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUMANAE VITAE INC",
"enumeration_date": "2023-06-01",
"last_updated": "2023-12-09",
"certification_date": "2023-12-09",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "TERESA MICHELLE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR, MIDWIFE",
"authorized_official_telephone_number": "650-622-7069",
"authorized_official_credential": "LM, CPM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence Midwifery",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Providence Midwifery",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Middletown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.