Individual provider Active NPI

Janice Elizabeth Wolfenberg, CPM, L.M.

  • Midwife
  • Honesdale, PA
National Provider Identifier
1912039504
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
21 Rocky Springs Rd
Honesdale, PA 18431-4127
Phone
(414) 313-1464
Fax
(414) 877-1174
NPI assigned
Mar 10, 2007
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X
Midwife 176B00000X Primary

Addresses

Primary practice location

21 Rocky Springs Rd
Honesdale, PA 18431-4127

Mailing address

21 Rocky Springs Rd
Honesdale, PA 18431-4127
Phone (414) 313-1464

Other identifiers 1

IdentifierTypeStateIssuer
6-049OtherWISTATE OF WISCONSIN

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

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1912039504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ROCKY SPRINGS RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314127",
            "telephone_number": "414-313-1464",
            "fax_number": "414-877-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ROCKY SPRINGS RD",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314127",
            "telephone_number": "414-313-1464",
            "fax_number": "414-877-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENBERG",
        "first_name": "JANICE",
        "middle_name": "ELIZABETH",
        "credential": "CPM, L.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN",
            "identifier": "6-049",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.