Aszani Stoddard, APRN, CNM, MSN
Individual provider Active NPI Advanced Practice Midwife · Saint Paul, MN
NPI 1841297587 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1841297587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- CNM 0256 (MN)
- Practice address
- 1619 Dayton Ave Ste 109
Saint Paul, MN 55104-6276 - Phone
- (651) 237-9665
- Fax
- (612) 392-0118
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110531000316 | MN | Practitioner - Certified Nurse Midwife (CNM) | 9638356645 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM 0256 | MN | MD | Advanced Practice Midwife |
| 137182-32 | WI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Cities Health Center, Inc. | Current | Accepting new patients | |
| Open Cities Health Center, Inc. | Current |
Accepting new patients | |
| Open Cities Health Center, Inc. | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients | |
| Aszani Stoddard, LLC | Past | Accepting new patients | |
| Minnesota Birth Center Inc. | Past | Accepting new patients |
Locations
409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200
916 Rice St
Saint Paul, MN 55117
Phone (651) 251-5993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
- astoddard834916@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 137182-32 | WI | |
| Advanced Practice Midwife | 367A00000X | CNM 0256 | MN | Yes |
Addresses
Primary practice location
1619 Dayton Ave Ste 109
Saint Paul, MN 55104-6276
Mailing address
3605 40TH Ave S
Minneapolis, MN 55406-2846
Phone (612) 356-4072
Other practice location 1
970 Raymond Ave
Suite G-10
Saint Paul, MN 55114-1146
Phone (651) 237-9665
Other practice location 2
2828 University Ave SE Ste 101
Minneapolis, MN 55414-3590
Phone (651) 237-9665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38256900 | Medicaid | WI | |
| 1184021198 | Medicaid | MN |
Other providers in Saint Paul, MN
- Tacy Stocking
- Elizabeth Stockinger
- Andrew Zachariah Stockman
- Kassidy Kay Stockman
- Abigail Stoddard
- Karen Elizabeth Stoddard
- Roger C Stoddard
- Karrin Stoehr
- Richard Alan Stoffels
- Valarie Stofferahn
All providers in Saint Paul, MN · Advanced Practice Midwife in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.