Active NPI
Tree of Life Midwifery
- Advanced Practice Midwife
- Canton, NY
National Provider Identifier
1740476332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F000954
- Legal business name
- TREE OF LIFE MIDWIFERY
- Practice address
- 89 Riverside Dr
Suite 3
Canton, NY 13617-3398 - Phone
- (315) 386-4458
- Fax
- (315) 379-1275
- NPI assigned
- Sep 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Allison R Koch, CNM
- Title
- Owner
- Phone
- (315) 386-4458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | F000954 | NY | Primary |
Addresses
Primary practice location
89 Riverside Dr
Suite 3
Canton, NY 13617-3398
Mailing address
89 Riverside Dr
Suite 3
Canton, NY 13617-3398
Phone (315) 386-4458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02147175 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Chapel Hill, NC
- NPI 1447211669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1740476332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 RIVERSIDE DR",
"address_2": "SUITE 3",
"city": "CANTON",
"state": "NY",
"postal_code": "136173398",
"telephone_number": "315-386-4458",
"fax_number": "315-379-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 RIVERSIDE DR",
"address_2": "SUITE 3",
"city": "CANTON",
"state": "NY",
"postal_code": "136173398",
"telephone_number": "315-386-4458",
"fax_number": "315-379-1275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREE OF LIFE MIDWIFERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "KOCH",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-386-4458",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F000954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02147175",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, NY
- Patricia Ann Todd, ANP
- Richard Dany Tombler, MD
- Tischa A Toon, LCSWR
- Lisa Marie Francey Towle, DC
- Christopher David Towler, PT
- Isreal Tyler
- United Cerebral Palsy Assoc of the North Country Inc
- United Cerebral Palsy Association of the North Country
- United Cerebral Palsy Association of the North Country Inc
- United Cerebral Palsy Association of the North Country, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.