Madeleine Justine Wisner, LM, IBCLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

510 Issued in CA

Practice address

2541 28TH St #4 Sacramento
Sacramento, CA 95818

Phone

(916) 668-9467

Fax

(209) 336-6814

NPI assigned

Sep 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madeleine Shernock Corp.

  • Midwife
  • Sacramento, CA
  • NPI 1871145425
  NPD Authorized official
• Welcome Home Community Birth Center, Inc.

  • Birthing Clinic/Center
  • Sacramento, CA
  • NPI 1205498532

  Midwife

  NPD Authorized official
• Welcome Home Midwifery Services, Inc.

  • Birthing Clinic/Center
  • Sacramento, CA
  • NPI 1700305158

  Midwife

  NPD Authorized official

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1831618370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 SOUTH LAND PARK DRIVE",
            "address_2": "PMB 302",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-668-9467",
            "fax_number": "209-336-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 28TH ST #4 SACRAMENTO",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95818",
            "telephone_number": "916-668-9467",
            "fax_number": "209-336-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNER",
        "first_name": "MADELEINE",
        "middle_name": "JUSTINE",
        "name_prefix": "Miss",
        "credential": "LM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831618370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laci Wise
• Dorinda Lee Wiseman, LCSW
• Jessica Wiser, M.D.
• Tamar Sara Wishnatzky, ED.D, , M.S., B.S.
• David Hamilton Wisner, M.D.
• Maya Wistos
• Corinne Wiswell
• Ryan L Witham
• Erika Witherow
• Michael Witkosky, M.D.

• Midwife in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.