Individual provider Active NPI

Vanessa Gentleman Cangialosi, LM, CPM, LMT

  • Midwife
  • Murrells Inlet, SC
National Provider Identifier
1952811556
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LMW-0076 Issued in SC
Practice address
240 Stone Throw Dr
Murrells Inlet, SC 29576-8213
Phone
(843) 283-7806
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2998 SC
Doula 374J00000X
Midwife 176B00000X LMW-0076 SC Primary

Addresses

Primary practice location

240 Stone Throw Dr
Murrells Inlet, SC 29576-8213

Mailing address

240 Stone Throw Dr
Murrells Inlet, SC 29576-8213
Phone (843) 283-7806

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
LMW-0076SCMDMidwife
2998SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1952811556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 STONE THROW DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768213",
            "telephone_number": "843-283-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 STONE THROW DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768213",
            "telephone_number": "843-283-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGIALOSI",
        "first_name": "VANESSA",
        "middle_name": "GENTLEMAN",
        "name_prefix": "Ms.",
        "credential": "LM, CPM, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SC",
            "license": "2998",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "LMW-0076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.