Individual provider Active NPI

Emily Maldonado, LM, CPM

  • Midwife
  • Winter Park, FL
National Provider Identifier
1194468041
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW379 Issued in FL
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

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Emily Niedermann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
MW379FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.