Active NPI
Kirsten Neidler, LM, CPM
- Midwife
- Jacksonville, FL
National Provider Identifier
1124962170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW511
- Practice address
- 1616 Jork Rd Ste 301
Jacksonville, FL 32207-2494 - Phone
- (904) 330-4011
- NPI assigned
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW511 | FL | Primary |
Addresses
Primary practice location
1616 Jork Rd Ste 301
Jacksonville, FL 32207-2494
Mailing address
410 Scriven Ave SW
Live Oak, FL 32064-2227
Phone (904) 330-4011
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW511 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1124962170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 SCRIVEN AVE SW",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320642227",
"telephone_number": "904-330-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 JORK RD STE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322072494",
"telephone_number": "904-330-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDLER",
"first_name": "KIRSTEN",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-17",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.