Luna Women'S Wellness and Birth Center PC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC

Practice address

117 Gillis Ave NE
Brainerd, MN 56401-3131

Phone

(218) 828-7773

Fax

(218) 828-2976

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Nicolle M Uban, PHD, CNM, APRNNPI 1902103658

Title

Owner

Phone

(218) 828-7773

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicolle Marie Uban, PHD, APRN, CNM

  • Advanced Practice Midwife
  • Brainerd, MN
  • NPI 1902103658
  NPD (past) Authorized official

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1699214247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GILLIS AVE NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013131",
            "telephone_number": "218-828-7773",
            "fax_number": "218-828-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GILLIS AVE NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013131",
            "telephone_number": "218-828-7773",
            "fax_number": "218-828-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "UBAN",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-828-7773",
        "authorized_official_credential": "PHD, CNM, APRN"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Lokken
• Pauline Ann Long, RN
• Alicia R Lorensen, APRN,CNP
• Chenise R Lozancic, PHARMD
• Luna Women'S Wellness and Birth Center PC
• Paul Richard Lund, MD
• Sarah Lundy, DPT
• Lyle Maciver
• Roger Macy, MD
• Jennifer Kathleen Mahling-Stadum, MD

• Midwife in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.