Individual provider Active NPI

Tara Eileen O'Neill, LM, CPM

  • Midwife
  • Farmington Hills, MI
National Provider Identifier
1104474915
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
7601000071 Issued in MI
Practice address
38215 W 10 Mile Rd Ste 6
Farmington Hills, MI 48335-2866
Phone
(313) 351-5331
Fax
(313) 751-8101
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 7601000071 MI Primary

Addresses

Primary practice location

38215 W 10 Mile Rd Ste 6
Farmington Hills, MI 48335-2866

Mailing address

38215 W 10 Mile Rd Ste 6
Farmington Hills, MI 48335-2866
Phone (313) 351-5331

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

LicenseStateTypeSpecialty
7601000071MIMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Birth Midwifery Midwife CurrentSince May 4, 2025 Accepting new patients

Locations

38215 W 10 Mile Rd
Ste 6
Farmington Hills, MI 48335
Phone (313) 351-5331

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1104474915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38215 W 10 MILE RD STE 6",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352866",
            "telephone_number": "313-351-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38215 W 10 MILE RD STE 6",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352866",
            "telephone_number": "313-351-5331",
            "fax_number": "313-751-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "TARA",
        "middle_name": "EILEEN",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "MI",
            "license": "7601000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

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