Provider Demographics
NPI:1982184305
Name:ART OF BIRTH MIDWIFERY, PLC
Entity Type:Organization
Organization Name:ART OF BIRTH MIDWIFERY, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SPERRY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CNM
Authorized Official - Phone:802-477-3841
Mailing Address - Street 1:17 CENTRAL ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1039
Mailing Address - Country:US
Mailing Address - Phone:802-431-6030
Mailing Address - Fax:802-735-1664
Practice Address - Street 1:17 CENTRAL ST UNIT 1
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1039
Practice Address - Country:US
Practice Address - Phone:802-431-6030
Practice Address - Fax:802-735-1664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101.0077848367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1019229Medicaid
NH30348916Medicaid