Individual provider Active NPI

Roberta Ress, CNM

  • Advanced Practice Midwife
  • Athens, AL
National Provider Identifier
1881687226
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1068016 Issued in AL
Practice address
1005 W Market St
Ste 9
Athens, AL 35611-2454
Phone
(256) 233-3100
Fax
(256) 233-2277
NPI assigned
Aug 30, 2005
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1068016 AL Primary

Addresses

Primary practice location

1005 W Market St
Ste 9
Athens, AL 35611-2454

Mailing address

1005 W Market St
Ste 9
Athens, AL 35611-2454
Phone (256) 233-3100

Other identifiers 2

IdentifierTypeStateIssuer
569100066MedicaidAL
51525361OtherALBLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1068016ALMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1881687226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "address_2": "STE 9",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-3100",
            "fax_number": "256-233-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W MARKET ST",
            "address_2": "STE 9",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112454",
            "telephone_number": "256-233-3100",
            "fax_number": "256-233-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESS",
        "first_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AL",
            "license": "1068016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569100066",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51525361",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.