Organization Active NPI

Santa Rosa Midwifery Center

  • Advanced Practice Midwife
  • Santa Rosa, CA
National Provider Identifier
1861827057
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW1382 Issued in CA
Legal business name
SANTA ROSA MIDWIFERY CENTER
Practice address
4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165
Phone
(707) 539-1544
Fax
(707) 539-0686
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Elizabeth Pointer Smith, CNMNPI 1497016711
Title
Owner
Phone
(707) 539-1544

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X NMW1382 CA Primary

Addresses

Primary practice location

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165

Mailing address

4415 Sonoma Hwy Ste B
Santa Rosa, CA 95409-4165
Phone (707) 539-1544

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Midwifery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

583 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 539-1544

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": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1861827057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-539-1544",
            "fax_number": "707-539-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-539-1544",
            "fax_number": "707-539-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA MIDWIFERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "POINTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-539-1544",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.