Active NPI
Rose Mountain Midwifery LLC
- Birthing Clinic/Center
- Gillette, WY
National Provider Identifier
1699320697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- ROSE MOUNTAIN MIDWIFERY LLC
- Practice address
- 603 S Gillette Ave
Gillette, WY 82716-4205 - Phone
- (406) 781-8681
- NPI assigned
- Aug 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Lopez, LM, CPM
- Title
- Owner/Midwife
- Phone
- (406) 781-8681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
603 S Gillette Ave
Gillette, WY 82716-4205
Mailing address
603 S Gillette Ave
Gillette, WY 82716-4205
Phone (406) 781-8681
National Provider Directory
National Provider DirectoryLocations
603 S Gillette Ave
Gillette, WY 82716
Phone (307) 682-2500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1699320697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164205",
"telephone_number": "406-781-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S GILLETTE AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827164205",
"telephone_number": "406-781-8681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE MOUNTAIN MIDWIFERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER/MIDWIFE",
"authorized_official_telephone_number": "406-781-8681",
"authorized_official_credential": "LM, CPM"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.