Trista Leeann Birdzell, DEM
Individual provider Active NPI Lay Midwife · Springville, UT
NPI 1255112439 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1255112439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lay Midwife 175M00000X
- Practice address
- 29 S 1000 E
Springville, UT 84663-2119 - Phone
- (623) 258-9587
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | Yes |
Addresses
Primary practice location
29 S 1000 E
Springville, UT 84663-2119
Mailing address
29 S 1000 E
Springville, UT 84663-2119
Phone (623) 258-9587
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.