Individual provider Active NPI

Mary Jane Leid, CPM

  • Midwife
  • Shippensburg, PA
National Provider Identifier
1770026148
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
1600 Roxbury Rd
Shippensburg, PA 17257
Phone
(717) 532-7771
Fax
(717) 532-0015
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

1600 Roxbury Rd
Shippensburg, PA 17257

Mailing address

1600 Roxbury Rd
Shippensburg, PA 17257
Phone (717) 532-7771

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1770026148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROXBURY RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "17257",
            "telephone_number": "717-532-7771",
            "fax_number": "717-532-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROXBURY RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "17257",
            "telephone_number": "717-532-7771",
            "fax_number": "717-532-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEID",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.