Active NPI
Danielle Walsh, CPM, LM
- Midwife
- Watertown, WI
National Provider Identifier
1801328745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 133-49
- Practice address
- 415 E Main St
Watertown, WI 53094-3872 - Phone
- (608) 469-1879
- Fax
- (877) 735-9114
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 133-49 | WI | Primary |
Addresses
Primary practice location
415 E Main St
Watertown, WI 53094-3872
Mailing address
PO Box 244
Waterloo, WI 53594-0244
Phone (608) 469-1879
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133-49 | WI | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1801328745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 244",
"city": "WATERLOO",
"state": "WI",
"postal_code": "535940244",
"telephone_number": "608-469-1879",
"fax_number": "877-735-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E MAIN ST",
"city": "WATERTOWN",
"state": "WI",
"postal_code": "530943872",
"telephone_number": "608-469-1879",
"fax_number": "877-735-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "DANIELLE",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "133-49",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.