Active NPI
Paige Pederson
- Midwife
- Warren, MN
National Provider Identifier
1801626916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 603 N Main St
Warren, MN 56762-1122 - Phone
- (218) 686-5655
- NPI assigned
- Aug 5, 2024
- Last updated
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
603 N Main St
Warren, MN 56762-1122
Mailing address
25833 340TH Ave NW
Warren, MN 56762-9199
Phone (218) 686-5655
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": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1801626916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25833 340TH AVE NW",
"city": "WARREN",
"state": "MN",
"postal_code": "567629199",
"telephone_number": "218-686-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N MAIN ST",
"city": "WARREN",
"state": "MN",
"postal_code": "567621122",
"telephone_number": "218-686-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSON",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MN
- Bailey Jo Marcotte, DC
- Marshall County Social Services
- Midwest Regenerative Medicine Center PC
- North Star Manor
- Mark Alan Pederson, DC
- Shane Skeim, FNP-C
- Jill J Smith, NP-C
- Nicole Rose Steien
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Warren)
- Warren Community Hospital, Inc. (North Valley Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.