Organization Active NPI

Thrive Center for Birth & Family Wellness, Inc

  • Midwife
  • Santa Rosa, CA
National Provider Identifier
1205275690
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM117 Issued in CA
Legal business name
THRIVE CENTER FOR BIRTH & FAMILY WELLNESS, INC
Practice address
4859 Old Redwood Hwy
Santa Rosa, CA 95403-1415
Phone
(707) 387-2088
Fax
(707) 324-5582
NPI assigned
Jun 18, 2013
Last updated
Feb 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Ms. Caitlin Marie Kirkman, LM, CPM
Title
Ceo
Phone
(707) 387-2088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM355 CA
Midwife 176B00000X LM117 CA Primary

Addresses

Primary practice location

4859 Old Redwood Hwy
Santa Rosa, CA 95403-1415

Mailing address

4859 Old Redwood Hwy
Santa Rosa, CA 95403-1415
Phone (707) 387-2088

National Provider Directory

National Provider Directory

Locations

4859 Old Redwood Hwy
Santa Rosa, CA 95403
Phone (707) 387-2088

Practitioners & affiliated clinicians

Practitioners 2

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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1205275690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 OLD REDWOOD HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031415",
            "telephone_number": "707-387-2088",
            "fax_number": "707-324-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 OLD REDWOOD HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031415",
            "telephone_number": "707-387-2088",
            "fax_number": "707-324-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CENTER FOR BIRTH & FAMILY WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "KIRKMAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-387-2088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM355",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.