Organization Active NPI

Theresa H Liete CNM Inc

  • Advanced Practice Midwife
  • Lima, OH
National Provider Identifier
1851583744
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM04988 Issued in OH
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

Updated by the provider on Jan 22, 2008

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)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2492128MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.