A Womans Place

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

940142 Issued in AK

Legal business name

A WOMANS PLACE

Practice address

355 Carlanna Lake Rd
Lower
Ketchikan, AK 99901-5614

Phone

(907) 225-1231

Fax

(907) 247-1231

NPI assigned

Mar 12, 2010

Last updated

Mar 12, 2010By 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

Ms. Eileen G Small, CNM

Title

Owner

Phone

(907) 225-1231

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Audrey Eileen Small, CNM

  • Midwife
  • Ketchikan, AK
  • NPI 1164630042
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1801119219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CARLANNA LAKE RD",
            "address_2": "LOWER",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015614",
            "telephone_number": "907-225-1231",
            "fax_number": "907-247-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CARLANNA LAKE RD",
            "address_2": "LOWER",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015614",
            "telephone_number": "907-225-1231",
            "fax_number": "907-247-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOMANS PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-225-1231",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "940142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Woman's Place LLC
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• Access Behavioral Services, LLC
• Kayla Admire
• Akeela Inc
• Akeela Inc

• Advanced Practice Midwife in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Advanced Practice Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.