Individual provider Active NPI

Dani Joelle Atlas Lavoire, LM, CPM, IBCLC

  • Midwife
  • Prescott, AZ
National Provider Identifier
1710147095
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM0156 Issued in AZ
Practice address
407 E Sheldon St
Prescott, AZ 86301-3119
Phone
(928) 308-9656
Fax
(928) 441-1980
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM0156 AZ Primary

Addresses

Primary practice location

407 E Sheldon St
Prescott, AZ 86301-3119

Mailing address

1853 Rocky Rd
Prescott, AZ 86305-1332
Phone (928) 308-9656

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

State licenses

LicenseStateTypeSpecialty
LM0156AZMDMidwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1710147095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 ROCKY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051332",
            "telephone_number": "928-308-9656",
            "fax_number": "928-441-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E SHELDON ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013119",
            "telephone_number": "928-308-9656",
            "fax_number": "928-441-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIRE",
        "first_name": "DANI",
        "middle_name": "JOELLE ATLAS",
        "credential": "LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM0156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.