Individual provider Active NPI

Adelle Barros Dandridge, LM, CPM

  • Midwife
  • Jacksonville, FL
National Provider Identifier
1326795097
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW480 Issued in FL
Practice address
116 Bartram Oaks Walk Ste 104
Jacksonville, FL 32259-3267
Phone
(904) 515-7728
Fax
(904) 368-5561
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW480 FL Primary

Addresses

Primary practice location

116 Bartram Oaks Walk Ste 104
Jacksonville, FL 32259-3267

Mailing address

116 Bartram Oaks Walk Ste 104
Jacksonville, FL 32259-3267
Phone (904) 515-7728

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
MW480FLMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1326795097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-515-7728",
            "fax_number": "904-368-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BARTRAM OAKS WALK STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593267",
            "telephone_number": "904-515-7728",
            "fax_number": "904-368-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDRIDGE",
        "first_name": "ADELLE",
        "middle_name": "BARROS",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.