Active NPI
Melinda Jonette Knatterud, CPM, LM-WI
- Midwife
- Saint Paul, MN
National Provider Identifier
1891472676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 518-49
- Practice address
- 1128 Grand Ave
Saint Paul, MN 55105-2628 - Phone
- (651) 983-7827
- NPI assigned
- Jul 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 518-49 | WI | Primary |
Addresses
Primary practice location
1128 Grand Ave
Saint Paul, MN 55105-2628
Mailing address
1128 Grand Ave
Saint Paul, MN 55105-2628
Phone (651) 983-7827
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 |
|---|---|---|---|
| 518-49 | WI | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1891472676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052628",
"telephone_number": "651-983-7827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052628",
"telephone_number": "651-983-7827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNATTERUD",
"first_name": "MELINDA",
"middle_name": "JONETTE",
"credential": "CPM, LM-WI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WI",
"license": "518-49",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.