Active NPI
Angela Boisen, CPM, LM
- Midwife
- La Farge, WI
National Provider Identifier
1881360550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 276-049
- Practice address
- 111 W Main St
La Farge, WI 54639-0000 - Phone
- (608) 293-1081
- Fax
- (608) 480-8101
- NPI assigned
- Aug 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | |||
| Midwife | 176B00000X | 276-049 | WI | Primary |
Addresses
Primary practice location
111 W Main St
La Farge, WI 54639-0000
Mailing address
111 W Main St
La Farge, WI 54639
Phone (608) 293-1081
Other practice location 1
206 Shird Ct
LA Farge, WI 54639-7950
Phone (608) 293-1023
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
| License | State | Type | Specialty |
|---|---|---|---|
| 276-049 | WI | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1881360550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W MAIN ST",
"city": "LA FARGE",
"state": "WI",
"postal_code": "54639",
"telephone_number": "608-293-1081",
"fax_number": "608-480-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W MAIN ST",
"city": "LA FARGE",
"state": "WI",
"postal_code": "546390000",
"telephone_number": "608-293-1081",
"fax_number": "608-480-8101"
}
],
"practiceLocations": [
{
"address_1": "206 Shird Ct",
"address_purpose": "LOCATION",
"city": "LA Farge",
"state": "WI",
"postal_code": "546397950",
"country_code": "US",
"telephone_number": "608-293-1023",
"fax_number": "608-480-8101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOISEN",
"first_name": "ANGELA",
"credential": "CPM, LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-21",
"last_updated": "2023-05-05",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "276-049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Farge, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.