Organization Active NPI

Birth and Wellness Center, LLC

  • Birthing Clinic/Center
  • O'Fallon, MO
National Provider Identifier
1255670675
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
BIRTH AND WELLNESS CENTER, LLC
Practice address
769 W Terra LN
O Fallon, MO 63366-2432
Phone
(636) 294-6441
Fax
(877) 533-4456
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Jessica Henman, CNM, CPM
Title
Administrator
Phone
(636) 294-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

769 W Terra LN
O Fallon, MO 63366-2432

Mailing address

769 W Terra LN
O Fallon, MO 63366-2432
Phone (636) 294-6441

Other names 1

  • Birth and Wellness Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1255670675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662432",
            "telephone_number": "636-294-6441",
            "fax_number": "877-533-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662432",
            "telephone_number": "636-294-6441",
            "fax_number": "877-533-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HENMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-294-6441",
        "authorized_official_credential": "CNM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birth and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.