Organization Active NPI

Fertile Ground Midwifery

  • Midwife
  • Tallahassee, FL
National Provider Identifier
1245095835
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
FERTILE GROUND MIDWIFERY
Practice address
6130 Trailwood CT
Tallahassee, FL 32311-9389
Phone
(850) 296-7086
Fax
(850) 792-1354
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Tifini Austin
Title
Ceo
Phone
(850) 296-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

6130 Trailwood CT
Tallahassee, FL 32311-9389

Mailing address

2241 N Monroe St # 1295
Tallahassee, FL 32303-4731
Phone (850) 296-7086

Other identifiers 1

IdentifierTypeStateIssuer
110520600MedicaidFL

National Provider Directory

National Provider Directory

Locations

2241 N Monroe St
Tallahassee, FL 32303
Phone (850) 320-8379

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1245095835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 N MONROE ST # 1295",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034731",
            "telephone_number": "850-296-7086",
            "fax_number": "850-792-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 TRAILWOOD CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323119389",
            "telephone_number": "850-296-7086",
            "fax_number": "850-792-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILE GROUND MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "TIFINI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-296-7086"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110520600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.