Organization Active NPI

Illuminated Midwifery

  • Midwife
  • Palmetto, FL
National Provider Identifier
1194572420
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
ILLUMINATED MIDWIFERY
Practice address
6129 Willowside St
Palmetto, FL 34221-2277
Phone
(813) 444-6007
Fax
(941) 212-5001
NPI assigned
May 3, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Kitty Lakey, LM., CPM.
Title
Licensed Midwife, Owner
Phone
(813) 444-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NU Primary

Addresses

Primary practice location

6129 Willowside St
Palmetto, FL 34221-2277

Mailing address

6129 Willowside St
Palmetto, FL 34221-2277
Phone (813) 444-6007

Other names 1

  • Illuminated Midwifery Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2305362Illuminated Midwifery LLC6129 Willowside St, Palmetto, FL 34221Certificate of waiverMay 29, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1194572420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6129 WILLOWSIDE ST",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212277",
            "telephone_number": "813-444-6007",
            "fax_number": "941-212-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6129 WILLOWSIDE ST",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212277",
            "telephone_number": "813-444-6007",
            "fax_number": "941-212-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATED MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "LAKEY",
        "authorized_official_first_name": "KITTY",
        "authorized_official_title_or_position": "LICENSED MIDWIFE, OWNER",
        "authorized_official_telephone_number": "813-444-6007",
        "authorized_official_credential": "LM., CPM."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illuminated Midwifery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.