Rebecca Merrell Carlson, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW408 Issued in FL

Practice address

12285 SE 70TH Avenue Rd
Belleview, FL 34420-4673

Phone

(352) 470-7565

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A Mother'S Village, LLC

  • Birthing Clinic/Center
  • Ocala, FL
  • NPI 1275251654
  NPD Authorized official

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1205212511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 SE 70TH AVENUE RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204673",
            "telephone_number": "352-470-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 SE 70TH AVENUE RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344204673",
            "telephone_number": "352-470-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "REBECCA",
        "middle_name": "MERRELL",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Rachelle Cabezudo-Calderon
• Ashley Cabezudo
• Jade Nicole Cadena
• Solina Calixtro
• Christel Joyce Capilitan
• Samantha Marie Carralero
• Victoria Caskey
• Leisan Castro
• Laurie Caufield, SPEECH THERAPIST
• CDPG, P.L.

• Midwife in Belleview, FL
• Providers in Belleview, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.