Active NPI
Theresa H Liete CNM Inc
- Advanced Practice Midwife
- Lima, OH
National Provider Identifier
1851583744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NM04988
- Legal business name
- THERESA H LIETE CNM INC
- Practice address
- 1220 E Elm St
Suite 204
Lima, OH 45804-2898 - Phone
- (419) 224-2632
- Fax
- (419) 222-2731
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cindy Lynne Dick
- Title
- Office Manager
- Phone
- (419) 224-2632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NM04988 | OH | Primary |
Addresses
Primary practice location
1220 E Elm St
Suite 204
Lima, OH 45804-2898
Mailing address
1220 E Elm St
Suite 204
Lima, OH 45804-2898
Phone (419) 224-2632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2492128 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1220 E Elm St
Ste 204
Lima, OH 45804
Phone (419) 224-2632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1851583744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E ELM ST",
"address_2": "SUITE 204",
"city": "LIMA",
"state": "OH",
"postal_code": "458042898",
"telephone_number": "419-224-2632",
"fax_number": "419-222-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E ELM ST",
"address_2": "SUITE 204",
"city": "LIMA",
"state": "OH",
"postal_code": "458042898",
"telephone_number": "419-224-2632",
"fax_number": "419-222-2731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERESA H LIETE CNM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "DICK",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-224-2632",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "NM04988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2492128",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.