Sondra R Bolzman, MIDWIFE CPM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

License

7601000023 Issued in MI

Practice address

4861 Main St
Millington, MI 48746-9671

Phone

(989) 871-4863

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1790384360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 MAIN ST",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487469671",
            "telephone_number": "989-871-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 MAIN ST",
            "city": "MILLINGTON",
            "state": "MI",
            "postal_code": "487469671",
            "telephone_number": "989-871-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLZMAN",
        "first_name": "SONDRA",
        "middle_name": "R",
        "credential": "MIDWIFE CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "MI",
            "license": "7601000023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MILLINGTON",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4861 Main St",
            "city": "Millington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487469671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennie Lynne Aeder, MA, LPC
• Tammy Joette Birkenmeier, MA, LLFMT
• Amanda Renee Bishop, LLPC
• Tamara Bukoski
• Timothy Patrick Carney, D.D.S.
• Teresa Marie Ennis-Decker, O.D.
• Laura Ewald
• Raeann Henderson

• Lay Midwife in Millington, MI
• Providers in Millington, MI by specialty
• Lay Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.