Paula Kaye Brandt, CERTIFIED NURSE MIDW
Individual provider Active NPI Advanced Practice Midwife · Lake Station, IN
NPI 1699280925 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1699280925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- APRN11020203 (FL)
- Practice address
- 2490 Central Ave
Lake Station, IN 46405-2122 - Phone
- (219) 763-8112
- Fax
- (219) 962-5053
- NPI assigned
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40207 | TN | MD | Internal Medicine Physician |
| APRN11020203 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- paula.bradnt.p1@direct.northshorehealth.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 71007695A | IN | |
| Advanced Practice Midwife | 367A00000X | 40207 | TN | |
| Advanced Practice Midwife | 367A00000X | APRN11020203 | FL | Yes |
Addresses
Primary practice location
2490 Central Ave
Lake Station, IN 46405-2122
Mailing address
PO Box 1430
Portage, IN 46368-9230
Phone (219) 763-8112
Other practice location 1
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527
Other providers in Lake Station, IN
- Saoussan Alfahel
- Mandy Faith Antkiewicz
- Wanda Averhart
- Angela Esther Balfanz
- Keary Allen Bewick
- Patricia Lynn Burgos
- Nicholas Bernard Cain
- Reynaldo Martin Caluag
- Shah Alam Chowdhury
- Civil City of Lake Station Ind
All providers in Lake Station, IN · Advanced Practice Midwife in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. 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.