Individual provider Active NPI

Bethany Rose Maria Witten, CPM

  • Midwife
  • Alstead, NH
National Provider Identifier
1649668328
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1060 Issued in NH
Practice address
1248 Forest Rd
Alstead, NH 03602
Phone
(207) 274-0341
NPI assigned
Jan 2, 2015
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 107.0129903 VT
Midwife 176B00000X 1060 NH Primary

Addresses

Primary practice location

1248 Forest Rd
Alstead, NH 03602

Mailing address

1248 Forest Rd
Alstead, NH 03602-3907
Phone (207) 274-0341

Other practice location 1

1248 Forest Rd
Alstead, NH 03602
Phone (207) 274-0341

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
1060NHMDMental Health Counselor
107.0129903VTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Twelve Moons Homebirth, LLC Midwife Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1649668328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FOREST RD",
            "city": "ALSTEAD",
            "state": "NH",
            "postal_code": "036023907",
            "telephone_number": "207-274-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FOREST RD",
            "city": "ALSTEAD",
            "state": "NH",
            "postal_code": "03602",
            "telephone_number": "207-274-0341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Alstead",
            "state": "NH",
            "postal_code": "03602",
            "country_code": "US",
            "telephone_number": "207-274-0341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTEN",
        "first_name": "BETHANY",
        "middle_name": "ROSE MARIA",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VT",
            "license": "107.0129903",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NH",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alstead, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.