Active NPI
Marie Judith Lucie Eruimy-Kiley, C.P.M.,L.M.
- Midwife
- Charlotte, VT
National Provider Identifier
1962895284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 107.0109596
- Practice address
- 1511 Prindle Road
Charlotte, VT 05445 - Phone
- (802) 999-3586
- NPI assigned
- Mar 11, 2015
- 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 | 107.0109596 | VT | Primary |
Addresses
Primary practice location
1511 Prindle Road
Charlotte, VT 05445
Mailing address
PO Box 88
Charlotte, VT 05445-0088
Phone (802) 999-3586
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 |
|---|---|---|---|
| 107.0109596 | VT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1962895284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "CHARLOTTE",
"state": "VT",
"postal_code": "054450088",
"telephone_number": "802-999-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 PRINDLE ROAD",
"city": "CHARLOTTE",
"state": "VT",
"postal_code": "05445",
"telephone_number": "802-999-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERUIMY-KILEY",
"first_name": "MARIE",
"middle_name": "JUDITH LUCIE",
"credential": "C.P.M.,L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-11",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VT",
"license": "107.0109596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.