MRS. JEANNE DIANE BAZILLE (NPI# 1720291669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720291669 |
Entity Type | Individual |
Full Name | MRS. JEANNE DIANE BAZILLE |
Credential | T.M., C.P.M |
Practice Address |
2405 Eldridge Ave E Saint Paul MN 55109-4087 |
Practice Telephone | 6517709494 |
Mailing Telephone | 6517709494 |
Enumeration Date | 2007-05-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 175M00000X | Midwife, Lay | Other Service Providers | ||
X | 176B00000X | Midwife | Other Service Providers |
Street Address |
2405 ELDRIDGE AVE E |
City | SAINT PAUL |
State | MN |
Zip Code | 55109-4087 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
Find all providers in zip 55109 |
Taxonomy Code | 175M00000X |
Grouping | Other Service Providers |
Classification | Midwife, Lay |
A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457584575 | Jane M Kirby | Midwife, Lay | 211 7th St E Apt 503, Saint Paul, MN 55101-2390 | 2009-08-24 |
1316071251 | Alyssa Margaret Folin | Midwife, Lay | 971 Goodrich Ave, #2, Saint Paul, MN 55105-3165 | 2007-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114459062 | Serena Lynch | Midwife, Lay | 205 W 2nd St Ste 337, Duluth, MN 55802-1928 | 2017-03-30 |
1477001113 | Margo Nelson | Midwife, Lay | 1115 E 7th St, Duluth, MN 55805-1627 | 2016-09-12 |
1649638099 | Brieana Davison | Midwife, Lay | 1709 4th Ave N, Minneapolis, MN 55405-1110 | 2016-01-31 |
1811395056 | Amber Labancz | Midwife, Lay | 6922 Keats Ave N, Stillwater, MN 55082-9357 | 2014-12-19 |
1548689557 | Anna Bosch | Midwife, Lay | 4234 Stevens Ave, Minneapolis, MN 55409-2004 | 2014-04-08 |
1225455595 | Margaret Novak | Midwife, Lay | 4500 Longfellow Ave, Minneapolis, MN 55407-3637 | 2014-03-25 |
1366871733 | Rosa Oesterreich | Midwife, Lay | 3249 Elliot Ave Apt 1, Minneapolis, MN 55407-4066 | 2013-11-06 |
1801029491 | Rolla Crandall | Midwife, Lay | 7033 Idaho Ave N, Brooklyn Park, MN 55428-1781 | 2009-08-28 |
1003055328 | Vanessa Stephens | Midwife, Lay | 3204 Elliot Ave, Minneapolis, MN 55407-2123 | 2009-02-10 |
1811558018 | Amber Horlacher Stinnett | Midwife, Lay | 615 E 5th St, Duluth, MN 55805-2028 | 2019-06-27 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55109 |
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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.