Modern Orlando Midwifery LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

MODERN ORLANDO MIDWIFERY LLC

Practice address

512 Fernwood Dr
Altamonte Springs, FL 32701-6330

Phone

(407) 907-2601

Fax

(407) 289-4050

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Laura Gayle Nathan, LM CPM

Title

Owner

Phone

(407) 907-2601

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1295398162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 FERNWOOD DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016330",
            "telephone_number": "407-907-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 FERNWOOD DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016330",
            "telephone_number": "407-907-2601",
            "fax_number": "407-289-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ORLANDO MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-907-2601",
        "authorized_official_credential": "LM CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura@modernorlandomidwifery.com",
            "affiliation": "N",
            "address_1": "512 Fernwood Dr",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327016330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Midwife in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.