Organization Active NPI

Sage Wellness Birth Collaborative

  • Obstetrics & Gynecology Nurse Practitioner
  • Crestview, FL
National Provider Identifier
1215820196
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
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

Updated by the provider on May 30, 2025

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

Authorized official

Name
Kiz Tosi, CNM, APRNNPI 1942774807
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)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2325786Sage Wellness Birth Collaborative LLC831 McCaskill Street, Crestview, FL 32536Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.