Organization Active NPI

Coastal Midwifery

  • Midwife
  • Davie, FL
National Provider Identifier
1003223389
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW252 Issued in FL
Legal business name
COASTAL MIDWIFERY
Practice address
10200 W State Road 84
Suite 230
Davie, FL 33324-4204
Phone
(954) 648-4990
Fax
(954) 644-8931
NPI assigned
Jul 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christa West, LM
Title
Owner
Phone
(954) 648-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW252 FL Primary

Addresses

Primary practice location

10200 W State Road 84
Suite 230
Davie, FL 33324-4204

Mailing address

10200 W State Road 84
Suite 230
Davie, FL 33324-4204
Phone (954) 648-4990

Other identifiers 1

IdentifierTypeStateIssuer
004436500MedicaidFL

National Provider Directory

National Provider Directory

Locations

10200 W State Road 84
Ste 230
Davie, FL 33324
Phone (954) 648-4990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1003223389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W STATE ROAD 84",
            "address_2": "SUITE 230",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244204",
            "telephone_number": "954-648-4990",
            "fax_number": "954-644-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W STATE ROAD 84",
            "address_2": "SUITE 230",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244204",
            "telephone_number": "954-648-4990",
            "fax_number": "954-644-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-648-4990",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004436500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.