Individual provider Active NPI

Laura Marie Gilbert, C.N.M.

  • Advanced Practice Midwife
  • Goshen, IN
National Provider Identifier
1740215623
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
72000064A Issued in IN
Practice address
113 E Madison St
Suite B
Goshen, IN 46526-3938
Phone
(574) 534-8771
Fax
(574) 534-8774
NPI assigned
Jul 11, 2006
Last updated
May 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 72000064A IN Primary

Addresses

Primary practice location

113 E Madison St
Suite B
Goshen, IN 46526-3938

Mailing address

113 E Madison St
Suite B
Goshen, IN 46526-3938
Phone (574) 534-8771

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
72000064AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Nurse-Midwives, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1740215623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E MADISON ST",
            "address_2": "SUITE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263938",
            "telephone_number": "574-534-8771",
            "fax_number": "574-534-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E MADISON ST",
            "address_2": "SUITE B",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263938",
            "telephone_number": "574-534-8771",
            "fax_number": "574-534-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000064A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.