Individual provider Active NPI

Celest I. Winfrey, LM, CPM, IBCLC

  • Midwife
  • Claremont, CA
National Provider Identifier
1124395611
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM558 Issued in CA
Practice address
2141 La Sierra Way
Claremont, CA 91711-1509
Phone
(310) 494-6097
Fax
(323) 680-4967
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM558 CA Primary
Lactation Consultant (Non-RN) 174N00000X L-34952 CA

Addresses

Primary practice location

2141 La Sierra Way
Claremont, CA 91711-1509

Mailing address

2141 La Sierra Way
Claremont, CA 91711-1509
Phone (310) 494-6097

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
L-34952CAMDLactation Consultant (Non-RN)
LM558CAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Midwifery Services Inc. CurrentSince Jan 15, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1124395611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 LA SIERRA WAY",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111509",
            "telephone_number": "310-494-6097",
            "fax_number": "323-680-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LA SIERRA WAY",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111509",
            "telephone_number": "310-494-6097",
            "fax_number": "323-680-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "CELEST",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM558",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-34952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.