Individual provider Active NPI

Anita Ann Trudell, ANITA TRUDELL, CNM

  • Advanced Practice Midwife
  • Los Angeles, CA
National Provider Identifier
1740328343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
770 Issued in CA
Practice address
200 Medical PLZ
Suite 430, Box 956928
Los Angeles, CA 90095-6928
Phone
(310) 794-7274
Fax
(310) 794-7436
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 770 CA Primary

Addresses

Primary practice location

200 Medical PLZ
Suite 430, Box 956928
Los Angeles, CA 90095-6928

Mailing address

200 Medical PLZ
Suite 430, Box 956928
Los Angeles, CA 90095-6928
Phone (310) 794-7274

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
770CAMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740328343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE 430, BOX 956928",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956928",
            "telephone_number": "310-794-7274",
            "fax_number": "310-794-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE 430, BOX 956928",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956928",
            "telephone_number": "310-794-7274",
            "fax_number": "310-794-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUDELL",
        "first_name": "ANITA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANITA TRUDELL, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, 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.

Verify at the official NPI Registry.