Individual provider Active NPI

Abalonia Rose Leavitt, CD, MSP, CPM, NRP

  • Lay Midwife
  • Hermitage, TN
National Provider Identifier
1295436244
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
241208 Issued in TN
Practice address
5636 Old Hickory Blvd Apt 720
Hermitage, TN 37076-3099
Phone
(954) 282-9170
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X 241208 TN
Lay Midwife 175M00000X 241208 TN Primary
Homeopath 175L00000X
Lay Midwife 175M00000X
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X 1295436244 TN
Student in an Organized Health Care Education/Training Program 390200000X TN

Addresses

Primary practice location

5636 Old Hickory Blvd Apt 720
Hermitage, TN 37076-3099

Mailing address

5636 Old Hickory Blvd Apt 720
Hermitage, TN 37076-3099
Phone (615) 928-0641

Other practice location 1

1602 Fenwick Village Dr
Savannah, GA 31419-8456
Phone (161) 592-8064

Other identifiers 3

IdentifierTypeStateIssuer
1295436244MedicaidTN
1295436244OtherGALAY MIDWIFE/DOULA
1295436244OtherTNLAY MIDWIFE/DOULA

Other names 1

  • Dr. Abbey Leavitt Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
SOAP URL leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net Health Information Exchange (HIE)
SOAP URL leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net Health Information Exchange (HIE)
Direct Messaging Address leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
241208TNMDLay Midwife
1295436244TNMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1295436244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 OLD HICKORY BLVD APT 720",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763099",
            "telephone_number": "615-928-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 OLD HICKORY BLVD APT 720",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763099",
            "telephone_number": "954-282-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Fenwick Village Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314198456",
            "country_code": "US",
            "telephone_number": "161-592-8064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "ABALONIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "CD, MSP, CPM, NRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TN",
            "license": "241208",
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "TN",
            "license": "241208",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "TN",
            "license": "1295436244",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295436244",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAY MIDWIFE/DOULA",
            "identifier": "1295436244",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAY MIDWIFE/DOULA",
            "identifier": "1295436244",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net",
            "affiliation": "N",
            "endpointDescription": "I am a Doula and a Midwife. I offer placental encapsulation, pregnancy, labor and delivery services photography packages. This is the email I use to integrate  with other providers to provide quality care to my patients.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5636 Old Hickory Blvd Apt 720",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370763099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5636 Old Hickory Blvd Apt 720",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370763099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net",
            "affiliation": "N",
            "endpointDescription": "Mobile Midwife EHR Patient Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "leavittsIttyBittyDeliveryLLC@MobileMidwifeEHR.net",
            "address_1": "5636 Old Hickory Blvd Apt 720",
            "city": "Hermitage",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370763099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "LEAVITT",
            "prefix": "DR.",
            "credential": "CD,MSP,CPM,NRC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.