Organization Active NPI

Motherhood to Menopause Midwifery Care, LLC

  • Advanced Practice Midwife
  • Saint Paul, MN
National Provider Identifier
1861080103
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
MOTHERHOOD TO MENOPAUSE MIDWIFERY CARE, LLC
Practice address
1576 Minnehaha Ave W
Saint Paul, MN 55104-1208
Phone
(651) 698-0891
Fax
(651) 644-2609
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Catherine Barbara Mascari, APRN/CNMNPI 1124016449
Title
Owner
Phone
(612) 269-1985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

1576 Minnehaha Ave W
Saint Paul, MN 55104-1208

Mailing address

1235 Saint Paul Ave
Saint Paul, MN 55116-2708
Phone (612) 314-6058

Other identifiers 1

IdentifierTypeStateIssuer
514198200MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.MOTHERHOODTOMENOPAUSE.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210708002985 MN Part B Supplier - Clinic/Group Practice 2961804257 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1861080103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SAINT PAUL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162708",
            "telephone_number": "612-314-6058",
            "fax_number": "855-916-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MINNEHAHA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041208",
            "telephone_number": "651-698-0891",
            "fax_number": "651-644-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERHOOD TO MENOPAUSE MIDWIFERY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "MASCARI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-269-1985",
        "authorized_official_credential": "APRN/CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514198200",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.MOTHERHOODTOMENOPAUSE.COM",
            "affiliation": "N",
            "address_1": "1235 Saint Paul Ave",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551162708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.