Active NPI
Jennie Susan Joseph, LM, CPM
- Midwife
- Winter Garden, FL
National Provider Identifier
1205833266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW0053
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340010700 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW0053 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counselor
- Winter Garden, FL
- NPI 1184015596
-
dba DBA The Birth Place
- Birthing Clinic/Center
- Winter Garden, FL
- NPI 1326112418
Community Health Worker
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.