NPIMap

Organization Active NPI

Wellspring Family Midwifery

  • Midwife
  • Arcata, CA
National Provider Identifier
1649568890
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM 308 Issued in CA
Legal business name
WELLSPRING FAMILY MIDWIFERY
Practice address
839 9TH St
Arcata, CA 95521-6229
Phone
(707) 845-7925
Fax
(707) 442-3955
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Deanna Albo Dick, LM, CPMNPI 1295021327
Title
Licensed Midwife, Partner
Phone
(707) 845-7925

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X LM 308 CA Primary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X LM 274 CA

Addresses

Primary practice location

839 9TH St
Arcata, CA 95521-6229

Mailing address

PO Box 4328
Arcata, CA 95518-4328
Phone (707) 845-7925

National Provider Directory

National Provider Directory

Locations

839 9th St
Arcata, CA 95521
Phone (707) 684-0457

Practitioners & affiliated clinicians

Practitioners 1

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": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1649568890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4328",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955184328",
            "telephone_number": "707-845-7925",
            "fax_number": "707-442-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 9TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216229",
            "telephone_number": "707-845-7925",
            "fax_number": "707-442-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING FAMILY MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "ALBO",
        "authorized_official_title_or_position": "LICENSED MIDWIFE, PARTNER",
        "authorized_official_telephone_number": "707-845-7925",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 308",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM 274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.