Individual provider Active NPI

Erin E Fulham, CNM

  • Advanced Practice Midwife
  • Takoma Park, MD
National Provider Identifier
1700910544
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN966801 Issued in DC
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

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN966801DCMDAdvanced Practice Midwife
R104016MDMDAdvanced Practice Midwife
0024166471VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.