Individual provider Active NPI

Jennifer Lee West, LM,CPM

  • Midwife
  • Albuquerque, NM
National Provider Identifier
1891835674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
93255R Issued in NM
Practice address
1009 Santa Ana Ave SE
Albuquerque, NM 87123-4232
Phone
(505) 294-4359
Fax
(614) 386-5206
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 93255R NM Primary

Addresses

Primary practice location

1009 Santa Ana Ave SE
Albuquerque, NM 87123-4232

Mailing address

1009 Santa Ana Ave SE
Albuquerque, NM 87123-4232
Phone (505) 294-4359

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
93255RNMMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891835674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SANTA ANA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234232",
            "telephone_number": "505-294-4359",
            "fax_number": "161-438-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SANTA ANA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871234232",
            "telephone_number": "505-294-4359",
            "fax_number": "614-386-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LM,CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "93255R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.