Birthroot Midwifery LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

BIRTHROOT MIDWIFERY LLC

Practice address

405 Sweetbriar Rd
Martinsburg, WV 25405-6943

Phone

(301) 991-7414

NPI assigned

Nov 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Shanna Mae Naomi Mastrangelo, CPM, LM

Title

Owner/Partner

Phone

(301) 991-7414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1972932952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1493",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254431493",
            "telephone_number": "301-991-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SWEETBRIAR RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254056943",
            "telephone_number": "301-991-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHROOT MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "MASTRANGELO",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "MAE NAOMI",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "301-991-7414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Bingaman
• Rebecca Ann Bingaman
• Bio-Medical Applications of West Virginia, Inc.
• Bio-Medical Applications of West Virginia, Inc.
• Kevin Bird, M.D.
• Vicki Sue Bishop
• Thomas E Bisom, RRT, RRT-ACCS, BSRC
• Shirley Black
• Thomas Short Black, SLP
• Lynne Blackshear, REGISTERED NURSE

• All providers in Martinsburg, WV
• Midwife in West Virginia

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

Verify at the official NPI Registry.