Organization Active NPI

Sacred Space Collective

  • Advanced Practice Midwife
  • Austin, TX
National Provider Identifier
1306608070
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
SACRED SPACE COLLECTIVE
Practice address
13359 N Highway 183 Ste 406-620
Austin, TX 78750-7153
Phone
(443) 553-3082
Fax
(512) 503-3969
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Lauren Foreman, CNM, PMHNPNPI 1063915668
Title
Midwife, Co-Owner
Phone
(443) 553-3082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

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

Mailing address

13359 N Highway 183 Ste 406-620
Austin, TX 78750-7153
Phone (443) 553-3082

National Provider Directory

National Provider Directory

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1306608070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13359 N HIGHWAY 183 STE 406-620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787507153",
            "telephone_number": "443-553-3082",
            "fax_number": "512-503-3969"
        },
        {
            "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",
            "fax_number": "512-503-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SPACE COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MIDWIFE, CO-OWNER",
        "authorized_official_telephone_number": "443-553-3082",
        "authorized_official_credential": "CNM, PMHNP"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.