MARY BETH CANAVAN


Address: 1030 International Blvd, Oakland, CA 94606-3730
Phone: 5102385400

MARY BETH CANAVAN (NPI# 1326148677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326148677
Entity Type Individual
Full Name MARY BETH CANAVAN
Credential CNM
Practice Address 1030 International Blvd
Oakland
CA 94606-3730
Mailing Address 1601 Fruitvale Ave
Oakland
CA 94601-2322
Practice Telephone 5102385400
Practice Fax Number 5102385437
Mailing Telephone 5105354000
Mailing Fax Number 5105354128
Enumeration Date 2006-09-25
Last Update Date 2010-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife NMW1440 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA FQHC MEDICARE PART B ZZZ79046Z 01
CA FPACT HAP11991F 01
CA FHC11991F 05
CA FQHC MEDICARE PART A 05-1822 01

Office Location

Street Address 1030 INTERNATIONAL BLVD
City OAKLAND
State CA
Zip Code 94606-3730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033178520 Monique Thiry-zaragoza Family Medicine 1030 International Blvd, Oakland, CA 94606 2006-03-22
1184107799 Denise Michelle Ochoa Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-09-10
1417439498 Natalia Solano-rojas Dietitian, Registered 1030 International Blvd, Oakland, CA 94606-3730 2018-09-05
1558847772 Lea Siegel Social Worker 1030 International Blvd, Oakland, CA 94606-3730 2018-07-11
1063908895 Vivian Yu Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-07-05
1376038828 Jeannette Soto Nurse Practitioner 1030 International Blvd, Oakland, CA 94606-3730 2018-06-27
1225523145 Jorge Luis Rosales Registered Nurse 1030 International Blvd, Oakland, CA 94606-3730 2018-06-23
1548774003 Clarisa Anguiano Counselor 1030 International Blvd, Oakland, CA 94606-3730 2017-11-20
1417407750 Caitlin Higginbotham Nurse Practitioner 1030 International Blvd, Oakland, CA 94606-3730 2016-10-11
1124576731 Peter Madril Dietitian, Registered 1030 International Blvd, Oakland, CA 94606-3730 2016-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366923369 Rhummanee Hang Case Manager/Care Coordinator 544 International Blvd., Suite #9, Oakland, CA 94606 2018-08-27
1841746153 First Aid Transportation LLC Non-emergency Medical Transport (VAN) 1709 International Blvd Ste 107, Oakland, CA 94606 2016-08-27
1609236686 Erik D Grasso Behavioral Analyst 1340 East 28th St., Suite C, Oakland, CA 94606 2016-03-03
1457770935 Jessica Robin Gar Ling Leung Family Medicine 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 2014-04-10
1902230709 Masja Van Der Hoog Acupuncturist 1511 23rd Ave, Apt 10, Oakland, CA 94606 2013-08-28
1063756997 Christine Michelle Huffner Nurse Practitioner 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 2012-11-15
1336418920 Alexandra Elisabeth Brewster Counselor 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 2011-12-28
1780964064 Meagen Elizabeth Grundberg Community Health Worker 544 International Blvd Ste 9, Oakland, CA 94606 2011-08-18
1285764217 Nguyen Tran Dang, Dds, Inc. Dentist 270 East 12th St., Oakland, CA 94606 2007-03-07
1689704017 Nguyen Tran Dang Dentist 270 East 12th Street, Oakland, CA 94606 2007-03-06
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Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992142780 Kathryn Delaplane Advanced Practice Midwife 123 Monte Cresta Ave, Oakland, CA 94611-4831 2013-06-03
1154463958 Gina Maria Catena Advanced Practice Midwife 350 30th Street, Suite 205, East Bay Perinatal Medical Association, Oakland, CA 94609 2007-02-12
1467479824 Cynthia Banks Advanced Practice Midwife 3028 73rd Ave, Oakland, CA 94605-2541 2006-07-15
1013420868 Sara Emily Neff Minahan Advanced Practice Midwife 1411 E 31st St, Oakland, CA 94602-1018 2017-11-14
1225468614 Anna Lederman Advanced Practice Midwife 365 Hawthorne Ave Ste 301, Oakland, CA 94609-3113 2013-11-20
1265774053 Lynn Ellen Chiarello Advanced Practice Midwife 350 30th St, Suite 208, Oakland, CA 94609-3424 2013-03-20
1043491251 Jennifer Jonae Braddock Advanced Practice Midwife 1411 E 31st St, Oakland, CA 94602-1018 2007-11-15
1255467346 Jennifer Ann Lee-steckman Advanced Practice Midwife 1025 Memorial Dr, Oakland, MD 21550-4343 2007-02-26
1932263308 Catherine B. Scott Advanced Practice Midwife 2950 International Blvd, Oakland, CA 94601-2228 2006-12-20
1093877276 Maura Claire Ghizzoni Advanced Practice Midwife 350 30th St, Suite 205, Oakland, CA 94609-3424 2006-12-14
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Competitor

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City OAKLAND
Zip Code 94606

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Dataset Information

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.

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