Sacred Roots Midwifery, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000221A Issued in IN

Legal business name

SACRED ROOTS MIDWIFERY, LLC

Practice address

6620 Parkdale PL
Suite K
Indianapolis, IN 46254-5620

Phone

(317) 437-3681

Fax

(317) 552-2671

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Angela Lyttle, CNMNPI 1609126804

Title

Co-Owner/Midwifery Director

Phone

(317) 437-3681

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Angela D Lyttle, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1609126804
  NPD (past) Authorized official
• Stephanie Roux, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1659133023

  Single Specialty

  NPD (past)
• Shelby D Smith, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1447972526
  NPD (past)

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1215390778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL",
            "address_2": "SUITE K",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545620",
            "telephone_number": "317-437-3681",
            "fax_number": "317-552-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL",
            "address_2": "SUITE K",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545620",
            "telephone_number": "317-437-3681",
            "fax_number": "317-552-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ROOTS MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LYTTLE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CO-OWNER/MIDWIFERY DIRECTOR",
        "authorized_official_telephone_number": "317-437-3681",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000221A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sackett, D.O
• Rachel Sackett, BCABA
• Abena Sackey, NP
• Madison Sacks, DO
• Sacred Roots Midwifery Birth Center, Inc
• John S Saczawa IV, MD
• Marie Saczawa
• Umm Hanee Sadaf, MD
• Mohammed Osman Sadat, MD
• Schellie Anne Saddoris, MS CCC SLP

• Advanced Practice Midwife in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.