Rebecca Ann Koller, CPM
Individual provider Active NPI Midwife · Whitefield, ME
NPI 1669616231 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1669616231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 6039257 (ME)
- Practice address
- 164A Henry LN
Whitefield, ME 04353-3318 - Phone
- (207) 841-1771
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6039257 | ME | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 6039257 | ME | Yes |
Addresses
Primary practice location
164A Henry LN
Whitefield, ME 04353-3318
Mailing address
164A Henry LN
Whitefield, ME 04353-3318
Phone (207) 841-1771
Other providers in Whitefield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.