Organization Active NPI

Roots & Wings Midwifery LLC

  • Midwife
  • Knoxville, TN
National Provider Identifier
1245731231
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
ROOTS & WINGS MIDWIFERY LLC
Practice address
3715 Sutherland Ave
Knoxville, TN 37919-4338
Phone
(865) 226-9344
Fax
(865) 851-8191
NPI assigned
Feb 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Rebekah Mustaleski, CPMNPI 1285073114
Title
Midwife
Phone
(865) 300-2997

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 1

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

Addresses

Primary practice location

3715 Sutherland Ave
Knoxville, TN 37919-4338

Mailing address

3715 Sutherland Ave
Knoxville, TN 37919-4338
Phone (865) 226-9344

Other practice location 1

2600 Sugar Grove Valley Rd
Harriman, TN 37748-5027
Phone (865) 235-2596

Other practice location 2

3815 Forest Ln
Knoxville, TN 37918-4230
Phone (865) 300-2997

Other practice location 3

4873 Chambliss Ave
Knoxville, TN 37919-5122
Phone (865) 226-9344

National Provider Directory

National Provider Directory

Locations

4873 Chambliss Ave
Knoxville, TN 37919
Phone (865) 226-9344

3715 Sutherland Ave
Knoxville, TN 37919
Phone (865) 214-7438

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": "1519430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1245731231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194338",
            "telephone_number": "865-226-9344",
            "fax_number": "865-851-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194338",
            "telephone_number": "865-226-9344",
            "fax_number": "865-851-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Sugar Grove Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Harriman",
            "state": "TN",
            "postal_code": "377485027",
            "country_code": "US",
            "telephone_number": "865-235-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 Forest Ln",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379184230",
            "country_code": "US",
            "telephone_number": "865-300-2997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4873 Chambliss Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195122",
            "country_code": "US",
            "telephone_number": "865-226-9344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROOTS & WINGS MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-24",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MUSTALESKI",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "865-300-2997",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.