LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC (NPI# 1093267189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093267189 |
| Entity Type | Organization |
| Organization Name | LUNA WOMEN'S WELLNESS AND BIRTH CENTER PC |
| Practice Address |
117 Gillis Ave Ne Brainerd MN 56401-3131 |
| Mailing Address |
117 Gillis Ave Ne Brainerd MN 56401 |
| Practice Telephone | (218) 828-7773 |
| Practice Fax Number | 2188282976 |
| Mailing Telephone | (218) 828-7773 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | NICOLLE MARIE UBAN (OWNER/MIDWIFE DIRECTOR) |
| Authorized Official Telephone | 2188287773 |
| Authorized Official Credential | PHD, APRN, CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
32831 | MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | INDIVIDUAL NPI | 1902103658 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 117 Gillis Ave Ne, Brainerd, MN 56104 | 2188287773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699214247 | Luna Women's Wellness and Birth Center PC | Midwife | 117 Gillis Ave Ne, Brainerd, MN 56401-3131 | 2017-02-15 |
| Street Address |
117 GILLIS AVE NE |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902103658 | Nicolle Marie Uban | Advanced Practice Midwife | 117 Gillis Ave Ne, Brainerd, MN 56401-3131 | 2011-02-15 |
| 1699214247 | Luna Women's Wellness and Birth Center PC | Midwife | 117 Gillis Ave Ne, Brainerd, MN 56401-3131 | 2017-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1275842627 | Morning Star Birth Services, LLC | Clinic/Center | 6111 Excelsior Blvd, St Louis Park, MN 55416-2703 | 2010-10-04 |
| 1336698554 | Noble Birth House | Clinic/Center | 2001 Milwaukee Ave, Minneapolis, MN 55404-3145 | 2016-09-29 |
| 1174981864 | A New Story Birth Center | Clinic/Center | 16802 145th Ave, Milaca, MN 56353-3208 | 2016-02-09 |
| 1407229750 | Roots Midwifery, LLC | Clinic/Center | 1901 44th Ave N, Minneapolis, MN 55412-1209 | 2015-11-09 |
| 1750771143 | Willow Midwives Ltd | Clinic/Center | 3033 Excelsior Blvd, Suite 585, Minneapolis, MN 55416-4688 | 2015-01-23 |
| 1801299128 | Willow Midwives Ltd | Clinic/Center | 3033 Excelsior Blvd, Suite 585, Minneapolis, MN 55416-4688 | 2014-10-01 |
| 1215341342 | Kairos Midwifery | Clinic/Center | 16802 145th Ave, Milaca, MN 56353-3208 | 2014-06-17 |
| 1336481001 | Morning Star Birth Center, Inc | Clinic/Center | 6111 Excelsior Blvd, St Louis Park, MN 55416-2703 | 2013-03-20 |
| 1972845642 | Morning Star Birth Center, Inc | Clinic/Center | 1730 E Superior St, Duluth, MN 55812-2045 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
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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.