Active NPI
Gladys Muir, RN, CNM, RNFA
- Advanced Practice Midwife
- Angwin, CA
National Provider Identifier
1710054168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN 338558 CNM 892
- Practice address
- 1 Angwin Ave
Angwin, CA 94508-9713 - Phone
- (707) 965-7604
- Fax
- (707) 965-6499
- NPI assigned
- Nov 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN 338558 CNM 892 | CA | Primary |
Addresses
Primary practice location
1 Angwin Ave
Angwin, CA 94508-9713
Mailing address
PO Box 36
Angwin, CA 94508-0036
Phone (707) 965-9945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NMW0008920 | Other | CA | MEDICAL NUMBER |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892 | CA | MD | Otolaryngology Physician |
| RN 338558 CNM 892 | CA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710054168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "ANGWIN",
"state": "CA",
"postal_code": "945080036",
"telephone_number": "707-965-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ANGWIN AVE",
"city": "ANGWIN",
"state": "CA",
"postal_code": "945089713",
"telephone_number": "707-965-7604",
"fax_number": "707-965-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIR",
"first_name": "GLADYS",
"credential": "RN, CNM, RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "RN 338558 CNM 892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL NUMBER",
"identifier": "NMW0008920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Angwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.