Rebecca Ann McInnis, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

47473784402 Issued in UT

Practice address

2180 E 4500 S
Suite 150
Holladay, UT 84117-4434

Phone

(801) 278-3102

Fax

(801) 278-3112

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Rebecca Ann Lauritzen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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

• Women & Birth Care

  • Midwife
  • Holladay, UT
  • NPI 1679643498
  NPD (past) Authorized official
• Birth and Family Place, Inc.

  • Clinic/Center
  • Holladay, UT
  • NPI 1558398800
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760526438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 CREEK LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073913",
            "telephone_number": "801-288-0087",
            "fax_number": "801-278-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 E 4500 S",
            "address_2": "SUITE 150",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841174434",
            "telephone_number": "801-278-3102",
            "fax_number": "801-278-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "47473784402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP INSURANCE",
            "identifier": "72884",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSURANCE",
            "identifier": "4747378440001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "LAURITZEN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mazzola Dascomb P.C.
• Tara McArthur, CSW
• Katharine E McCarthy, P.A.
• Jeremy Christopher McCorristin, DPT
• Paul Steven McDonough, D.D.S.
• Meiers Pharmacy LLC (Meier's Pharmacy)
• Amanda Merrell
• Whitney Mickelsen, CPM, LDEM
• Millcreek Counseling & Adoption Services, Inc.
• Apollo Minh Miller

• Advanced Practice Midwife in Holladay, UT
• Providers in Holladay, UT by specialty
• Advanced Practice Midwife in Utah

• 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.