Organization Active NPI

Midwives Rising LLC

  • Midwife
  • Phoenix, AZ
National Provider Identifier
1306387154
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM148 Issued in AZ
Legal business name
MIDWIVES RISING LLC
Practice address
115 W McDowell Rd Ste 4B
Phoenix, AZ 85003-1383
Phone
(602) 242-4446
Fax
(602) 626-3555
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Shell Luttrell, LM
Title
Clinical Director
Phone
(602) 242-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X LM148 AZ Primary

Addresses

Primary practice location

115 W McDowell Rd Ste 4B
Phoenix, AZ 85003-1383

Mailing address

115 W McDowell Rd Ste 4B
Phoenix, AZ 85003-1383
Phone (602) 242-4446

National Provider Directory

National Provider Directory

Locations

115 W McDowell Rd
Ste 4B
Phoenix, AZ 85003
Phone (602) 373-0361

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1306387154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MCDOWELL RD STE 4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031383",
            "telephone_number": "602-242-4446",
            "fax_number": "602-626-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MCDOWELL RD STE 4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031383",
            "telephone_number": "602-242-4446",
            "fax_number": "602-626-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWIVES RISING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "LUTTRELL",
        "authorized_official_first_name": "SHELL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-242-4446",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.