Active NPI
Erin E Fulham, CNM
- Advanced Practice Midwife
- Takoma Park, MD
National Provider Identifier
1700910544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN966801
- Practice address
- 7301 Garland Ave
Takoma Park, MD 20912-6417 - Phone
- (301) 412-8800
- Fax
- (301) 920-1107
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0024166471 | VA | |
| Advanced Practice Midwife | 367A00000X | R104016 | MD | |
| Advanced Practice Midwife | 367A00000X | RN966801 | DC | Primary |
Addresses
Primary practice location
7301 Garland Ave
Takoma Park, MD 20912-6417
Mailing address
708 Ritchie Ave
Silver Spring, MD 20910-5241
Phone (301) 587-0091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN966801 | DC | MD | Advanced Practice Midwife |
| R104016 | MD | MD | Advanced Practice Midwife |
| 0024166471 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.a.M.a.S., Inc | Advanced Practice Midwife | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Advanced Practice Midwife
- Takoma Park, MD
- NPI 1295031763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1700910544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 RITCHIE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209105241",
"telephone_number": "301-587-0091",
"fax_number": "703-549-4821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 GARLAND AVE",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126417",
"telephone_number": "301-412-8800",
"fax_number": "301-920-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULHAM",
"first_name": "ERIN",
"middle_name": "E",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024166471",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R104016",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DC",
"license": "RN966801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.