The Volusia Tribe Community Pregnancy Clinic Corp

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

THE VOLUSIA TRIBE COMMUNITY PREGNANCY CLINIC CORP

Practice address

800 S Nova Rd Ste R
Ormond Beach, FL 32174-7362

Phone

(386) 227-7663

Fax

(386) 204-7117

NPI assigned

Aug 4, 2022

Organization subpart

No

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

Authorized official

Name

Serena R Burr, LMNPI 1366899825

Title

President

Phone

(386) 227-7663

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Serena Burr, CPM, LM

  • Midwife
  • Ormond Beach, FL
  • NPI 1366899825
  NPD Authorized official
• Tabatha L Seppala

  • Doula
  • Bunnell, FL
  • NPI 1508323874
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1346977899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S NOVA RD STE R",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747362",
            "telephone_number": "386-227-7663",
            "fax_number": "386-204-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S NOVA RD STE R",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747362",
            "telephone_number": "386-227-7663",
            "fax_number": "386-204-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VOLUSIA TRIBE COMMUNITY PREGNANCY CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-227-7663",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115566700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.