NPIMap

Organization Active NPI

Tree of Life Birth and Gynecology

  • Birthing Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1053617696
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
TREE OF LIFE BIRTH AND GYNECOLOGY
Practice address
165 Montgomery Rd
Altamonte Springs, FL 32714
Phone
(407) 878-2757
Fax
(407) 288-8530
NPI assigned
Jan 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Ms. Kaleen R Richards, ARNP, CNMNPI 1922156330
Title
Owner
Phone
(407) 929-6599

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 9170873 FL

Addresses

Primary practice location

165 Montgomery Rd
Altamonte Springs, FL 32714

Mailing address

165 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 878-2757

Other identifiers 2

IdentifierTypeStateIssuer
111617800MedicaidFL
1922156330MedicaidFL

Other names 1

  • Tree of Life Birth and Gynecology Other name

National Provider Directory

National Provider Directory
Tax ID family
Tree of Life Birth and Gynecol2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1296345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1053617696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-878-2757",
            "fax_number": "407-288-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-878-2757",
            "fax_number": "407-288-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE BIRTH AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-30",
        "last_updated": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KALEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-929-6599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP, CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9170873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111617800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922156330",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Birth and Gynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.