Organization Active NPI

Moonrise Birth Collective

  • Midwife
  • Winter Park, FL
National Provider Identifier
1124849591
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
MOONRISE BIRTH COLLECTIVE
Practice address
630 N Denning Dr
Winter Park, FL 32789-3019
Phone
(407) 312-2670
Fax
(689) 227-7466
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Mrs. Emily Maldonado, LMNPI 1194468041
Title
Owner, Midwife
Phone
(407) 312-2670

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 1

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

Addresses

Primary practice location

630 N Denning Dr
Winter Park, FL 32789-3019

Mailing address

630 N Denning Dr
Winter Park, FL 32789-3019
Phone (407) 312-2670

National Provider Directory

National Provider Directory

Locations

630 N Denning Dr
Winter Park, FL 32789
Phone (321) 279-3742

Practitioners & affiliated clinicians

Practitioners 1

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": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1124849591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N DENNING DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893019",
            "telephone_number": "407-312-2670",
            "fax_number": "689-227-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N DENNING DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893019",
            "telephone_number": "407-312-2670",
            "fax_number": "689-227-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONRISE BIRTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, MIDWIFE",
        "authorized_official_telephone_number": "407-312-2670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.