NPIMap

Organization Active NPI

Servant'S Heart Midwifery Services

  • Nursing Care Agency
  • Normal, IL
National Provider Identifier
1255700431
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
041.370301 Issued in IL
Legal business name
SERVANT'S HEART MIDWIFERY SERVICES
Practice address
1100 Beech St BLDG 7
Normal, IL 61761-1493
Phone
(309) 361-4974
Fax
(309) 643-1090
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Amie Kristine Hernandez, APRNNPI 1780052027
Title
Owner
Phone
(309) 361-4974

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
Nursing Care Agency 251J00000X 041.370301 IL Primary

Addresses

Primary practice location

1100 Beech St BLDG 7
Normal, IL 61761-1493

Mailing address

1707 W Teton Dr
Peoria, IL 61614-2637
Phone (309) 361-4974

National Provider Directory

National Provider Directory

Locations

1100 Beech St
Bldg 7-7
Normal, IL 61761
Phone (309) 361-4974

Practitioners & affiliated clinicians

Practitioners 1

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": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1255700431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 W TETON DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142637",
            "telephone_number": "309-361-4974",
            "fax_number": "309-643-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST BLDG 7",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611493",
            "telephone_number": "309-361-4974",
            "fax_number": "309-643-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT'S HEART MIDWIFERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-361-4974",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "041.370301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.