Organization Active NPI

Tree of Life Midwifery

  • Advanced Practice Midwife
  • Canton, NY
National Provider Identifier
1740476332
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000954 Issued in NY
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

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Ms. Allison R Koch, CNMNPI 1447211669
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)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02147175MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.