Organization Active NPI

Labor of Love Midwifery, LLC

  • Lay Midwife
  • Wasilla, AK
National Provider Identifier
1821399460
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
NM0044 Issued in AK
Legal business name
LABOR OF LOVE MIDWIFERY, LLC
Practice address
2405 S. Knik Goose Bay Road
Wasilla, AK 99654
Phone
(907) 841-2565
Fax
(888) 862-1422
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Ms. Peggy Jean Halsey, CDM, CPMNPI 1891918686
Title
Director
Phone
(907) 841-2565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 175M00000X NM0044 AK Primary
Birthing Clinic/Center 261QB0400X FBC-014 AK

Addresses

Primary practice location

2405 S. Knik Goose Bay Road
Wasilla, AK 99654

Mailing address

PO Box 874486
Wasilla, AK 99587-4486
Phone (907) 841-2565

Other identifiers 1

IdentifierTypeStateIssuer
1571125MedicaidAK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1821399460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874486",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "995874486",
            "telephone_number": "907-841-2565",
            "fax_number": "888-862-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S. KNIK GOOSE BAY ROAD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-841-2565",
            "fax_number": "888-862-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABOR OF LOVE MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "HALSEY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "907-841-2565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDM, CPM"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "AK",
            "license": "NM0044",
            "primary": true
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "AK",
            "license": "FBC-014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1571125",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.