Organization Active NPI

Innate Midwifery LLC

Doing business as Innate Midwifery

  • Midwife
  • Holladay, UT
National Provider Identifier
1154918084
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
INNATE MIDWIFERY LLC
Doing business as
Innate Midwifery
Practice address
4359 S Highland Dr
Holladay, UT 84124-3539
Phone
(888) 755-7155
Fax
(801) 723-3115
NPI assigned
Dec 26, 2020
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Katia L'Ecuyer, CPM, LDEMNPI 1831563501
Title
Owner
Phone
(888) 755-7155

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
Midwife 176B00000X NU Primary

Addresses

Primary practice location

4359 S Highland Dr
Holladay, UT 84124-3539

Mailing address

4359 S Highland Dr
Holladay, UT 84124-3539
Phone (888) 755-7155

Other names 1

  • Innate Midwifery Doing business as

National Provider Directory

National Provider Directory

Locations

4359 S Highland Dr
Slc, UT 84124
Phone (760) 815-6923

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1154918084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841243539",
            "telephone_number": "888-755-7155",
            "fax_number": "801-723-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 S HIGHLAND DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841243539",
            "telephone_number": "888-755-7155",
            "fax_number": "801-723-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "L'ECUYER",
        "authorized_official_first_name": "KATIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-755-7155",
        "authorized_official_credential": "CPM, LDEM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innate Midwifery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innate Midwifery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.