Organization Active NPI

Miracle Moments Midwifery

  • Midwife
  • Wichita, KS
National Provider Identifier
1174389910
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
MIRACLE MOMENTS MIDWIFERY
Practice address
910 S Hillside St
Wichita, KS 67211-4001
Phone
(316) 361-6276
NPI assigned
Feb 27, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Samantha Nicole Goodell, APRN CNMNPI 1073198487
Title
Owner CNM
Phone
(620) 480-0115

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X NU
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Midwife 176B00000X NU Primary

Addresses

Primary practice location

910 S Hillside St
Wichita, KS 67211-4001

Mailing address

6526 S Ward Pkwy
Wichita, KS 67217-5962
Phone (620) 480-0115

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1174389910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 S WARD PKWY",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672175962",
            "telephone_number": "620-480-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114001",
            "telephone_number": "316-361-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MOMENTS MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER CNM",
        "authorized_official_telephone_number": "620-480-0115",
        "authorized_official_credential": "APRN CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.