Sacred Space Midwifery LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

SACRED SPACE MIDWIFERY LLC

Practice address

13359 N Highway 183 Ste 406-620
Austin, TX 78750-7153

Phone

(443) 553-3082

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By 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

Lauren Foreman, CNM, PMHNP, RNNPI 1063915668

Title

CNM, Owner

Phone

(443) 553-3082

Specialties & licenses 1

Addresses

Other names 1

• Sacred Space Wellness LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Foreman, CNM, PMHNP

  • Advanced Practice Midwife
  • Austin, TX
  • NPI 1063915668
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1306522024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N FM 620 RD APT 9203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787262914",
            "telephone_number": "443-553-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13359 N HIGHWAY 183 STE 406-620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507153",
            "telephone_number": "443-553-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CNM, OWNER",
        "authorized_official_telephone_number": "443-553-3082",
        "authorized_official_credential": "CNM, PMHNP, RN"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Space Wellness LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Bliss Sacco, SLP
• Jennifer Grace Sacco, LMSW
• Koushalya Sachdev
• Sacramento Esl Services, LLC
• Sacred Space Collective
• Sacred Willow Therapy, PLLC
• Jennifer Cary Sada, ARNP
• Atekeh Sadat, LCSW
• Vanessa Dawn Sadd, FNP
• Daniella Sadeh, APRN

• Advanced Practice Midwife in Austin, TX
• Providers in Austin, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.