Martha Ani Boudakian, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F000745-1 Issued in NY

Practice address

2425 Clover St
Rochester, NY 14618-4517

Phone

(585) 271-3323

Fax

(585) 271-3324

NPI assigned

Mar 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seven Springs Midwifery PLLC

  • Advanced Practice Midwife
  • Rochester, NY
  • NPI 1790373264
  NPD Authorized official
• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  NPD (past)

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1891019964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CLOVER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184517",
            "telephone_number": "585-271-3323",
            "fax_number": "585-271-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CLOVER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184517",
            "telephone_number": "585-271-3323",
            "fax_number": "585-271-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDAKIAN",
        "first_name": "MARTHA",
        "middle_name": "ANI",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000745-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MIDWIFE REGISTRATION CERTIFICATE",
            "identifier": "F000745-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Bottomley, NP
• Allison Smith Bottoni, M.S. CCC-SLP
• Martha Bottoni, FNP
• Brittany Lee Bouchard, PA
• Michael Boucher, LCSW
• Aletha Ward Bouie, LPN
• Jacob David Bourne-Frazer
• Claire Ann Bourne, NP
• Stephanie Bourne, LMSW
• Tshoma Jalise Bourne, LPN

• Advanced Practice Midwife in Rochester, NY
• Providers in Rochester, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.