ALBA BIRTH CENTER LLC (NPI# 1013379742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013379742 |
| Entity Type | Organization |
| Organization Name | ALBA BIRTH CENTER LLC |
| Practice Address |
308 E Northland Ave Appleton WI 54911-2163 |
| Mailing Address |
308 E Northland Ave Appleton WI 54911 |
| Practice Telephone | 9208826200 |
| Practice Fax Number | 9208821798 |
| Mailing Telephone | 9208826200 |
| Mailing Fax Number | 9208821798 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | ANDREA RAINE (OWNER CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9205747349 |
| Authorized Official Credential | LM, CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374J00000X | Doula | Nursing Service Related Providers | ||
| Y | 176B00000X | Midwife | WI | Other Service Providers |
| Street Address |
308 E NORTHLAND AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770647521 | Kenneth Lee Otto | Chiropractor | 308 E Northland Ave, Appleton, WI 54911-2163 | 2006-12-19 |
| 1720604655 | Heather Eckstein | Midwife | 308 E Northland Ave, Appleton, WI 54911-2163 | 2020-06-16 |
| 1356850119 | Heather Kopesky | Student in an Organized Health Care Education/Training Program | 308 E Northland Ave, Appleton, WI 54911-2163 | 2017-09-25 |
| 1225410897 | Rachelle Hansen | Doula | 308 E Northland Ave, Appleton, WI 54911-2163 | 2015-06-19 |
| 1285980318 | Appleton Community Birth Center | Clinic/Center | 308 E Northland Ave, Appleton, WI 54911-2163 | 2012-07-26 |
| 1619165875 | Otto Chiropractic, S.c. | Chiropractor | 308 E Northland Ave, Appleton, WI 54911-2163 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700155900 | Anja D Farin | Midwife | 4076 W Spencer St, Appleton, WI 54914-4015 | 2011-12-19 |
| 1790817591 | Jill Marie Coulter | Midwife | 330 E Pershing St, Appleton, WI 54911-2864 | 2007-03-09 |
| 1720604655 | Heather Eckstein | Midwife | 308 E Northland Ave, Appleton, WI 54911-2163 | 2020-06-16 |
| 1568929529 | Birthwise Homebirth | Midwife | 1230 W College Ave Ste C, Appleton, WI 54914-5287 | 2019-02-26 |
| 1083108815 | Elizabeth Charles | Midwife | 30 S Behl St, Appleton, MN 56208-1616 | 2018-06-15 |
| 1700399458 | Embrace Birth Care, LLC | Midwife | 1309 S Oneida St, Appleton, WI 54915-1351 | 2017-11-15 |
| 1982142154 | Sara Hansman | Midwife | 1230 W College Ave Ste C, Appleton, WI 54914-5287 | 2017-02-07 |
| 1679918965 | Birthwise, LLC | Midwife | 1703 S Oneida St, Suite C, Appleton, WI 54915-1524 | 2013-05-01 |
| 1699034108 | Samantha Cori Greenlee | Midwife | 1703 S Oneida St, Appleton, WI 54915-1524 | 2012-05-04 |
| 1982830113 | Wendy Marijke Vanroojen | Midwife | 1703 S Oneida St, Suite C, Appleton, WI 54915-1524 | 2009-06-02 |
| Find all providers in APPLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.