North Country Midwifery, PLLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

000546 Issued in NY

Legal business name

NORTH COUNTRY MIDWIFERY, PLLC

Practice address

18564 US Route 11
Suite 4
Watertown, NY 13601-5900

Phone

(315) 681-6502

Fax

(315) 681-6716

NPI assigned

May 8, 2012

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joyce M Wilder, CNM, WHNPNPI 1255380580

Title

Owner

Phone

(315) 408-2851

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Wilder's Women's Healthcare Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joyce M. Wilder, CNM, NP

  • Advanced Practice Midwife
  • Watertown, NY
  • NPI 1255380580

  Women's Health

  NPD (past) Authorized official
• Lana Bernat, CNM

  • Advanced Practice Midwife
  • Fort Polk, LA
  • NPI 1568826238
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1740549971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18564 US ROUTE 11",
            "address_2": "SUITE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015900",
            "telephone_number": "315-681-6502",
            "fax_number": "315-681-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US ROUTE 11",
            "address_2": "SUITE 4",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015900",
            "telephone_number": "315-681-6502",
            "fax_number": "315-681-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY MIDWIFERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-408-2851",
        "authorized_official_credential": "CNM, WHNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "420516",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "000546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255380580",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1740549971",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01709553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilder's Women's Healthcare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Advanced Practice Midwife in Watertown, NY
• Providers in Watertown, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.