Espanola Valley Womens Health

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

License

09065R Issued in NM

Legal business name

ESPANOLA VALLEY WOMENS HEALTH

Doing business as

Espanola Midwifery Service

Practice address

705 La Joya St Ste a
Espanola, NM 87532-2233

Phone

(505) 508-7209

NPI assigned

Aug 19, 2010

Organization subpart

No

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

Authorized official

Name

Jessica Frechette-Gutfreund, LM, CPMNPI 1285966838

Title

Co-Director

Phone

(505) 508-7209

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Espanola Midwifery Service Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Maureen Frechette-Gutfreund, LM, CPM

  • Lay Midwife
  • Espanola, NM
  • NPI 1285966838

  Midwife, Lay

  NPD (past) Authorized official

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1922314541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875320157",
            "telephone_number": "505-508-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 LA JOYA ST STE A",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322233",
            "telephone_number": "505-508-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPANOLA VALLEY WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "FRECHETTE-GUTFREUND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "505-508-7209",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "NM",
            "license": "09065R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56859023",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Espanola Midwifery Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Espanola Valley High School
• Espanola Valley Nursing Operations LLC
• Rhonda L. Evenhus, MA,CCC-SLP
• Emily J Everhart
• Eye Associates of New Mexico, LTD. (Eye Associates of New Mexico)
• Eye Care for You
• Eye Care Surgery

• Lay Midwife in Espanola, NM
• Providers in Espanola, NM by specialty
• Lay Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.