Moonstone Midwifery & Family Health

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000144A Issued in IN

Legal business name

MOONSTONE MIDWIFERY & FAMILY HEALTH

Practice address

3201 Inwood Dr
Fort Wayne, IN 46815-5909

Phone

(260) 482-1369

Fax

(260) 482-1369

NPI assigned

Nov 22, 2009

Organization subpart

No

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

Authorized official

Name

Gretchen H Jenkins, C.N.M.

Title

Owner

Phone

(260) 482-1369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258848000000",
    "number": "1841528312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155909",
            "telephone_number": "260-482-1369",
            "fax_number": "260-482-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155909",
            "telephone_number": "260-482-1369",
            "fax_number": "260-482-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE MIDWIFERY & FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-22",
        "last_updated": "2009-11-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-482-1369",
        "authorized_official_credential": "C.N.M."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000144A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola M Montesino, LMHCA
• August Montgomery
• Candace Montgomery
• Steven J. Mooibroek, M.D.
• Raymond Gerard Moon-Gabet, LSW
• Aaron Moore, RBT
• Ann Margaret Moore, D.O.
• Brett Michael Moore, PHARMD
• Christine Moore, RD
• Christopher W Moore, PA

• Advanced Practice Midwife in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; 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.