Provider Type Icon

COUNTRY MIDWIFE LLC NPI 1255505525


NPI Information

NPI: 1255505525
Provider Name: COUNTRY MIDWIFE LLC

Doing Business As: COUNTRY MIDWIFE

Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Organization
Address:
1638 DECKNER AVE
SUITE A
GREEN BAY, WI
ZIP 54302
Phone: (920) 562-9058
Get Directions

COUNTRY MIDWIFE LLC is an advanced practice midwife in Green Bay, WI. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. COUNTRY MIDWIFE LLC NPI is 1255505525. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Country Midwife.

The provider's business location address is:

1638 DECKNER AVE
SUITE A
GREEN BAY, WI
ZIP 54302-640
Phone: (920) 562-9058

The provider's authorized official is Stacy L Vandenput .
The authorized official title is Midwife, Manager and has the following contact phone number (920) 562-9058.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 11/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2163WH0200XRegistered NurseHome HealthNo
3163WL0100XRegistered NurseLactation ConsultantNo
4163WM0102XRegistered NurseMaternal NewbornNo
5163WW0101XRegistered NurseWomen's Health Care, AmbulatoryNo
6176B00000XMidwife31-049WISCONSINNo
7176B00000XMidwifeNo
8176B00000XMidwifeWISCONSINNo
9261QB0400XClinic/CenterBirthingNo
10261QR1300XClinic/CenterRural HealthNo
11367A00000XAdvanced Practice Midwife107888-030WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.