Active NPI
Sage Wellness Birth Collaborative
- Obstetrics & Gynecology Nurse Practitioner
- Crestview, FL
National Provider Identifier
1215820196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- SAGE WELLNESS BIRTH COLLABORATIVE
- Practice address
- 831 McCaskill St
Crestview, FL 32536-2757 - Phone
- (850) 446-6505
- Fax
- (850) 806-1868
- NPI assigned
- May 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiz Tosi, CNM, APRN
- Title
- Owner, Midwife
- Phone
- (850) 446-6505
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | |||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | Primary |
Addresses
Primary practice location
831 McCaskill St
Crestview, FL 32536-2757
Mailing address
831 McCaskill St
Crestview, FL 32536-2757
Phone (850) 446-6505
Other names 1
- Peaceful Breath Midwifery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2325786 | Sage Wellness Birth Collaborative LLC | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- Crestview, FL
- NPI 1942774807
-
- Lactation Consultant (Registered Nurse)
- Crestview, FL
- NPI 1275405466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748563200000",
"number": "1215820196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 MCCASKILL ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325362757",
"telephone_number": "850-446-6505",
"fax_number": "850-806-1868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MCCASKILL ST",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325362757",
"telephone_number": "850-446-6505",
"fax_number": "850-806-1868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE WELLNESS BIRTH COLLABORATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A",
"authorized_official_last_name": "TOSI",
"authorized_official_first_name": "KIZ",
"authorized_official_title_or_position": "OWNER, MIDWIFE",
"authorized_official_telephone_number": "850-446-6505",
"authorized_official_credential": "CNM, APRN"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peaceful Breath Midwifery",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.