Organization Active NPI

Le Gra Birth Services, LLC

  • Midwife
  • Maplewood, MN
National Provider Identifier
1205671104
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
LE GRA BIRTH SERVICES, LLC
Practice address
1885 Howard St N
Maplewood, MN 55109-4844
Phone
(951) 397-6264
Fax
(651) 447-7873
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Brieana Christine Davison, LM, CPMNPI 1649638099
Title
Owner, Licensed Midwife
Phone
(951) 397-6264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

1885 Howard St N
Maplewood, MN 55109-4844

Mailing address

1885 Howard St N
Maplewood, MN 55109-4844
Phone (951) 397-6264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1205671104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 HOWARD ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094844",
            "telephone_number": "951-397-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 HOWARD ST N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094844",
            "telephone_number": "951-397-6264",
            "fax_number": "651-447-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE GRA BIRTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "BRIEANA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, LICENSED MIDWIFE",
        "authorized_official_telephone_number": "951-397-6264",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.