Janice Ann Baldwin, CNM
Individual provider Active NPI Advanced Practice Midwife · Plymouth, IN
NPI 1861411209 · NPPES record last updated Sep 14, 2016
Key facts
- NPI
- 1861411209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 28162747A (IN)
- Practice address
- 1919 Lake Ave
Suite 99
Plymouth, IN 46563-7830 - Phone
- (574) 941-2977
- Fax
- (574) 941-2978
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28162747A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Past | Accepting new patients | |
| Saint Joseph Community Hospital of Mishawaka | Past | Accepting new patients |
Interoperability endpoints
- jbaldwin1147794@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 28162747A | IN | |
| Advanced Practice Midwife | 367A00000X | 28162747A | IN | Yes |
Addresses
Primary practice location
1919 Lake Ave
Suite 99
Plymouth, IN 46563-7830
Mailing address
707 E Cedar St
Ste 200
South Bend, IN 46617-2057
Phone (574) 335-8707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000569011 | Other | IN | BCBS |
| 200410010 | Medicaid | IN |
Other providers in Plymouth, IN
- J. Douglas Badell
- Jeff Badell
- Kelly E Bain-Conkin
- Brian S Baird
- Rebecca M. Baker-Palmer
- Michael Roy Baldwin
- Stephen J Barber
- Scott Kelley Barger
- Carlos Bastardo
- Beacon Medical Group, Inc.
All providers in Plymouth, IN · Advanced Practice Midwife in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.