Lifecircle Midwifery & Wellness Center, Inc.

Primary specialty

MidwifeTaxonomy code 176B00000X

License

25-049 Issued in WI

Legal business name

LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.

Practice address

32 5TH Ave.
Shell Lake, WI 54871-0514

Phone

(715) 338-3499

NPI assigned

Dec 7, 2009

Last updated

Dec 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Defilippo, LICENSED MIDWIFE

Title

President

Phone

(715) 338-3499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1265760078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710514",
            "telephone_number": "715-338-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 5TH AVE.",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710514",
            "telephone_number": "715-338-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "DEFILIPPO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-338-3499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED MIDWIFE"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "25-049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Jacobson
• Keith M Jaglinski, P.T.A
• Brenda L Joyce-Reidt, DC
• Kenneth J Garrison, MD, SC
• Bailey Paige Koshatka
• James L Merrick, OT
• Matthew Michael Meyer, M.A. LPC-IT
• Midstate Medical, Inc
• Amber Marie Miller, LPC
• Wendy Muska

• Midwife in Shell Lake, WI
• Providers in Shell Lake, WI by specialty
• Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.