Arizona Midwife LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM180 Issued in AZ

Legal business name

ARIZONA MIDWIFE LLC

Practice address

12790 W Lundberg St
Surprise, AZ 85378-3728

Phone

(602) 643-9433

Fax

(480) 247-4344

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia L Witt, LM, CPMNPI 1619382793

Title

Midwife

Phone

(801) 759-5124

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alicia L Witt, LICENSED MIDWIFE

  • Midwife
  • Surprise, AZ
  • NPI 1619382793
  NPD (past) Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1346655446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 E MCDONALD DR # 500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506335",
            "telephone_number": "602-643-9433",
            "fax_number": "480-247-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12790 W LUNDBERG ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783728",
            "telephone_number": "602-643-9433",
            "fax_number": "480-247-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MIDWIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "801-759-5124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.