Individual provider Active NPI

Trisha O Ludwig, CNM

  • Midwife
  • Wallingford, CT
National Provider Identifier
1679696686
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
000291 Issued in CT
Practice address
850 N Main Street Ext BLDG 2
Suite 3a&B
Wallingford, CT 06492-2400
Phone
(203) 397-5286
Fax
(203) 643-8459
NPI assigned
Apr 6, 2007
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 000291 CT Primary

Addresses

Primary practice location

850 N Main Street Ext BLDG 2
Suite 3a&B
Wallingford, CT 06492-2400

Mailing address

850 N Main Street Ext BLDG 2
Suite 3a&B
Wallingford, CT 06492-2400
Phone (203) 397-5286

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
Credentials
Certified Nurse Midwife

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1679696686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT BLDG 2",
            "address_2": "SUITE 3A&B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-397-5286",
            "fax_number": "203-643-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT BLDG 2",
            "address_2": "SUITE 3A&B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-397-5286",
            "fax_number": "203-643-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "TRISHA",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "000291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.