Individual provider Active NPI

Michelle A Rhude, CNM

  • Advanced Practice Midwife
  • Jacksonville, NC
National Provider Identifier
1760457915
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
372 Issued in NC
Practice address
310 New Bridge Street
Jacksonville, NC 28540
Phone
(910) 621-4266
Fax
(910) 613-0382
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NC
Advanced Practice Midwife 367A00000X 372 NC Primary

Addresses

Primary practice location

310 New Bridge Street
Jacksonville, NC 28540

Mailing address

310 New Bridge Street
Jacksonville, NC 28540
Phone (910) 621-4266

Other identifiers 1

IdentifierTypeStateIssuer
7002070MedicaidNC

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001483NYMDMarriage & Family Therapist
372NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Mamas Doula & Lactation, LLC Current Accepting new patients
Buglisi Eye Care, PLLC CurrentSince Mar 28, 2012 Accepting new patients
La Vita Bella Birth Center, PLLC Current Accepting new patients

Locations

310 New Bridge St
Jacksonville, NC 28540
Phone (910) 621-4266

250 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-2115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1760457915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NEW BRIDGE STREET",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-621-4266",
            "fax_number": "910-613-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NEW BRIDGE STREET",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-621-4266",
            "fax_number": "910-613-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHUDE",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002070",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.