Organization Active NPI

My Mindful Birth Arizona LLC

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1003766320
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
MY MINDFUL BIRTH ARIZONA LLC
Practice address
4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062
Phone
(630) 209-3250
Fax
(480) 558-4384
NPI assigned
Jan 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Isabelle Lacroix Guillou, CERTIFIED NURSE-MIDWNPI 1114232386
Title
Owner
Phone
(630) 209-3250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062

Mailing address

4202 E Broadway Rd Unit 87
Mesa, AZ 85206-1062
Phone (630) 209-3250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1003766320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 E BROADWAY RD UNIT 87",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061062",
            "telephone_number": "630-209-3250",
            "fax_number": "480-558-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E BROADWAY RD UNIT 87",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061062",
            "telephone_number": "630-209-3250",
            "fax_number": "480-558-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MINDFUL BIRTH ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "GUILLOU",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_middle_name": "LACROIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-209-3250",
        "authorized_official_credential": "CERTIFIED NURSE-MIDW"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.