=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730030032
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SADDLEPEAK BIRTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 38 SWIFTWATER DR
-----------------------------------------------------
City | BOZEMAN
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59715-8761
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-303-3672
-----------------------------------------------------
Fax | 406-296-6647
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 38 SWIFTWATER DR
-----------------------------------------------------
City | BOZEMAN
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59715-8761
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-303-3672
-----------------------------------------------------
Fax | 406-296-6647
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MIDWIFE, OWNER
-----------------------------------------------------
Name | AVEREE CHIFAMBA
-----------------------------------------------------
Credential | LM, CPM
-----------------------------------------------------
Telephone | 406-599-3153
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174N00000X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Non-RN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 176B00000X
-----------------------------------------------------
Taxonomy Name | Midwife
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------