Individual provider Active NPI

Jennie Susan Joseph, LM, CPM

  • Midwife
  • Winter Garden, FL
National Provider Identifier
1205833266
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW0053 Issued in FL
Practice address
213 S. Dillard St
Suite 340
Winter Garden, FL 34787-2922
Phone
(407) 656-6938
Fax
(407) 656-9161
NPI assigned
Jul 6, 2005
Last updated
Dec 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW0053 FL Primary
Community Health Worker 172V00000X NU
Doula 374J00000X NU

Addresses

Primary practice location

213 S. Dillard St
Suite 340
Winter Garden, FL 34787-2922

Mailing address

213 S Dillard St
Suite 340
Winter Garden, FL 34787-3596
Phone (407) 656-6938

Other identifiers 1

IdentifierTypeStateIssuer
340010700MedicaidFL

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
MW0053FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Commonsense Childbirth Inc Community Health Worker Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1205833266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S DILLARD ST",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873596",
            "telephone_number": "407-656-6938",
            "fax_number": "407-656-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S. DILLARD ST",
            "address_2": "SUITE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872922",
            "telephone_number": "407-656-6938",
            "fax_number": "407-656-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JENNIE",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW0053",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340010700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.