Mama Natural Birth LLC

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Legal business name

MAMA NATURAL BIRTH LLC

Practice address

86 Okeechobee Cir
Santa Rosa Beach, FL 32459-8798

Phone

(312) 259-4587

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Michael Howland Pugh

Title

Partner

Phone

(312) 259-4587

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1043897986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 OKEECHOBEE CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598798",
            "telephone_number": "312-259-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 OKEECHOBEE CIR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598798",
            "telephone_number": "312-259-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA NATURAL BIRTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "HOWLAND PUGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-259-4587"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Lunsford, RBT
• Mack Bayou Pharmacy LLC
• Richard Magana, PA-C
• Hannah Maggio, MCD/CCC-SLP
• Diane Marie Magnuson, LCSW
• Dawn Marie Mangum
• David E Mann Jr., MD
• Kelly Marie Martin, NP
• Kaitlyn Connor Matheney, APRN
• Patrick M. McCorry, LCSW

• Lay Midwife in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Lay Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.