Individual provider Active NPI

Amber E Roman, CNM

  • Midwife
  • Pensacola, FL
National Provider Identifier
1366703639
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
11020691 Issued in FL
Practice address
600 University Office Blvd BLDG 4
Pensacola, FL 32504-6475
Phone
(850) 324-5393
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 11020691 FL Primary
Doula 374J00000X

Addresses

Primary practice location

600 University Office Blvd BLDG 4
Pensacola, FL 32504-6475

Mailing address

600 University Office Blvd BLDG 4
Pensacola, FL 32504-6475
Phone (850) 324-5393

Other practice location 1

1955 Wyatt St
Pensacola, FL 32514-7794
Phone (850) 324-5393

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11020691FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Belly to Cradle, LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

600 University Office Blvd
Bldg 4
Pensacola, FL 32504
Phone (850) 324-5393

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1366703639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY OFFICE BLVD BLDG 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046475",
            "telephone_number": "850-324-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY OFFICE BLVD BLDG 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046475",
            "telephone_number": "850-324-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Wyatt St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325147794",
            "country_code": "US",
            "telephone_number": "850-324-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "AMBER",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "11020691",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.