Active NPI
Emily Maldonado, LM, CPM
- Midwife
- Winter Park, FL
National Provider Identifier
1194468041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW379
- Practice address
- 1746 Eastbrook Blvd
Winter Park, FL 32792-2436 - Phone
- (407) 312-2670
- NPI assigned
- Apr 19, 2022
- 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 | MW379 | FL | Primary |
Addresses
Primary practice location
1746 Eastbrook Blvd
Winter Park, FL 32792-2436
Mailing address
1746 Eastbrook Blvd
Winter Park, FL 32792-2436
Phone (407) 312-2670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other names 1
- Emily Niedermann
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://clientcareeast.net/ | Health Information Exchange (HIE) | Heart 2 Heart Birth Center LLC |
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 |
|---|---|---|---|
| MW379 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moonrise Birth Collective | Midwife | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Winter Park, FL
- NPI 1124849591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1194468041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1746 EASTBROOK BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922436",
"telephone_number": "407-312-2670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 EASTBROOK BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922436",
"telephone_number": "407-312-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "EMILY",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "FL",
"license": "MW379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://clientcareeast.net/",
"affiliation": "Y",
"endpointDescription": "EHR",
"affiliationName": "Heart 2 Heart Birth Center LLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1110 Lexington Green Ln",
"city": "Sanford",
"state": "FL",
"country_code": "US",
"postal_code": "327711022",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EMILY",
"last_name": "NIEDERMANN",
"credential": "LM",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.