Organization Active NPI

Jacinda Golden

Doing business as River City Homebirth

  • Midwife
  • Jacksonville, FL
National Provider Identifier
1164971917
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW315 Issued in FL
Legal business name
JACINDA GOLDEN
Doing business as
River City Homebirth
Practice address
9439 San Jose Blvd
Apt 3
Jacksonville, FL 32257-9233
Phone
(904) 505-4848
Fax
(904) 339-9335
NPI assigned
Sep 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Authorized official

Name
Jacinda Golden, LM, CPM
Title
Sole Proprietor
Phone
(904) 505-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW315 FL Primary

Addresses

Primary practice location

9439 San Jose Blvd
Apt 3
Jacksonville, FL 32257-9233

Mailing address

9439 San Jose Blvd
Apt 3
Jacksonville, FL 32257-9233
Phone (904) 505-4848

Other names 1

  • River City Homebirth Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1164971917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9439 SAN JOSE BLVD",
            "address_2": "APT 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579233",
            "telephone_number": "904-505-4848",
            "fax_number": "904-339-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9439 SAN JOSE BLVD",
            "address_2": "APT 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579233",
            "telephone_number": "904-505-4848",
            "fax_number": "904-339-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACINDA GOLDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "JACINDA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "904-505-4848",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Homebirth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 21, 2016; 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.