Active NPI
Rosalie Delaney Mitchell, LM, CPM
- Midwife
- Live Oak, FL
National Provider Identifier
1013595503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW404
- Practice address
- 2010 Evergreen Ave SW
Live Oak, FL 32064-4421 - Phone
- (386) 466-8404
- Fax
- (386) 401-2312
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW404 | FL | Primary |
Addresses
Primary practice location
2010 Evergreen Ave SW
Live Oak, FL 32064-4421
Mailing address
2010 Evergreen Ave SW
Live Oak, FL 32064-4421
Phone (386) 466-8404
Other practice location 1
2010 Evergreen Ave SW
Live Oak, FL 32064-4421
Phone (386) 466-8404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW404 | Other | FL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW404 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Midwifery, LLC | Midwife | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Live Oak, FL
- NPI 1386340941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1013595503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 EVERGREEN AVE SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320644421",
"telephone_number": "386-466-8404",
"fax_number": "800-853-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 EVERGREEN AVE SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320644421",
"telephone_number": "386-466-8404",
"fax_number": "386-401-2312"
}
],
"practiceLocations": [
{
"address_1": "2010 Evergreen Ave SW",
"address_purpose": "LOCATION",
"city": "Live Oak",
"state": "FL",
"postal_code": "320644421",
"country_code": "US",
"telephone_number": "386-466-8404",
"fax_number": "386-401-2312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "ROSALIE",
"middle_name": "DELANEY",
"name_prefix": "Mr.",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "MW404",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.