Modern Midwives LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

MODERN MIDWIVES LLC

Practice address

830 3Rd St S Ste 108
Jacksonville Beach, FL 32250-6674

Phone

(904) 834-1155

Fax

(904) 431-3557

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Amanda West, LM, CPMNPI 1003403585

Title

Licensed Midwife

Phone

(904) 834-1155

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Kay West, LM, CPM

  • Midwife
  • Neptune Beach, FL
  • NPI 1003403585
  NPD Authorized official
• Virginia Disch, LM, CPM

  • Midwife
  • Jacksonville Beach, FL
  • NPI 1215781398
  NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1336859438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 3RD ST S STE 108",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506674",
            "telephone_number": "904-834-1155",
            "fax_number": "904-431-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 3RD ST S STE 108",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506674",
            "telephone_number": "904-834-1155",
            "fax_number": "904-431-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MIDWIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "904-834-1155",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfulness Counseling Center of Jacksonville
• Asia F Mixson, PHARMD, RPH
• Mobile Audiology & Hearing AIDS LLC
• Mobility Technology Integrated LLC
• Elena Model-Rybakova, M.D.
• Katharine Moeller
• Ashley Jordan Molina, MSW, RCSWI
• Martin M. Monahan, D.C.
• Catherine A Monk, M.S. OTR/L
• Danielle Renee Montgomery

• Birthing Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Birthing Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.