Individual provider Active NPI

Angela Marie Middleton, CNM, IBCLC

  • Advanced Practice Midwife
  • La Plata, MD
National Provider Identifier
1982289765
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R239713 Issued in MD
Practice address
7681 Olivers Shop Rd
La Plata, MD 20646-4149
Phone
(240) 925-8120
NPI assigned
Mar 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X R239713 MD
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024188693 VA
Advanced Practice Midwife 367A00000X 0024188693 VA
Advanced Practice Midwife 367A00000X R239713 MD Primary

Addresses

Primary practice location

7681 Olivers Shop Rd
La Plata, MD 20646-4149

Mailing address

7681 Olivers Shop Rd
La Plata, MD 20646-4149
Phone (240) 925-8120

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL riversidecollectivellc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240126003923 VA Practitioner - Certified Nurse Midwife (CNM) 8022461953 Reassigns benefits to 1 organization
I20240620000562 DC Practitioner - Certified Nurse Midwife (CNM) 8022461953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024188693VAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jun 1, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 15, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 15, 2023 Accepting new patients
Dimensions Healthcare Associates Inc Advanced Practice Midwife CurrentSince Jun 1, 2024 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients

Locations

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1300 Hospital Dr
Ste 300
Fredericksburg, VA 22401
Phone (540) 373-4700

Interoperability endpoints

  • Direct secure messaging: amiddleton1102384@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1982289765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7681 OLIVERS SHOP RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464149",
            "telephone_number": "240-925-8120",
            "fax_number": "877-552-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7681 OLIVERS SHOP RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464149",
            "telephone_number": "240-925-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "CNM, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R239713",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024188693",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024188693",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "R239713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "riversidecollectivellc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "7681 Olivers Shop Rd",
            "city": "LA Plata",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206464149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.