Active NPI
Megan E Koontz, LM
- Midwife
- Ridgecrest, CA
National Provider Identifier
1942641360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 372
- Practice address
- 1426 W Franklin Ave
Ridgecrest, CA 93555-8751 - Phone
- (760) 677-1476
- NPI assigned
- Jul 14, 2013
- 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 | 372 | CA | Primary |
Addresses
Primary practice location
1426 W Franklin Ave
Ridgecrest, CA 93555-8751
Mailing address
1426 W Franklin Ave
Ridgecrest, CA 93555-8751
Phone (760) 677-1476
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 |
|---|---|---|---|
| 372 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373760000000",
"number": "1942641360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 W FRANKLIN AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935558751",
"telephone_number": "760-677-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 W FRANKLIN AVE",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935558751",
"telephone_number": "760-677-1476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONTZ",
"first_name": "MEGAN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-14",
"last_updated": "2013-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.