Individual provider Active NPI

Brittany Barthol Villondo, CPM

  • Advanced Practice Midwife
  • Memphis, TN
National Provider Identifier
1710531249
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CPM0000000073 Issued in TN
Practice address
2142 E River Trace Dr Apt 7
Memphis, TN 38134-2747
Phone
(901) 652-1888
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CPM0000000073 TN Primary

Addresses

Primary practice location

2142 E River Trace Dr Apt 7
Memphis, TN 38134-2747

Mailing address

2142 E River Trace Dr Apt 7
Memphis, TN 38134-2747
Phone (901) 652-1888

Other names 1

  • Miss Brittany Lauren Barthol Former name

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
CPM0000000073TNMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1710531249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 E RIVER TRACE DR APT 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381342747",
            "telephone_number": "901-652-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 E RIVER TRACE DR APT 7",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381342747",
            "telephone_number": "901-652-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLONDO",
        "first_name": "BRITTANY",
        "middle_name": "BARTHOL",
        "name_prefix": "Mrs.",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "CPM0000000073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BARTHOL",
            "middle_name": "LAUREN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.