Individual provider Active NPI

Martha Carol Andrew, LM, CPM

  • Lay Midwife
  • Ranchos de Taos, NM
National Provider Identifier
1871891101
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
96368R Issued in NM
Practice address
188 Miranda Canyon Road
Ranchos de Taos, NM 87557
Phone
(575) 751-7430
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X 96368R NM Primary

Addresses

Primary practice location

188 Miranda Canyon Road
Ranchos de Taos, NM 87557

Mailing address

PO Box 1671
Ranchos de Taos, NM 87557-1671
Phone (575) 751-7430

Other names 1

  • Marcy Andrew Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96368RNMMDLay Midwife

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1871891101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875571671",
            "telephone_number": "575-751-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MIRANDA CANYON ROAD",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "87557",
            "telephone_number": "575-751-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "MARTHA",
        "middle_name": "CAROL",
        "credential": "LM,  CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "NM",
            "license": "96368R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "ANDREW",
            "credential": "LM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ranchos de Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.