Individual provider Active NPI

Serena Burr, CPM, LM

  • Midwife
  • Ormond Beach, FL
National Provider Identifier
1366899825
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW329 Issued in FL
Practice address
800 S Nova Rd Ste R
Ormond Beach, FL 32174-7362
Phone
(386) 227-7663
Fax
(386) 204-7117
NPI assigned
May 15, 2016
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW329 FL Primary
Doula 374J00000X NU

Addresses

Primary practice location

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

Mailing address

800 S Nova Rd Ste R
Ormond Beach, FL 32174-7362
Phone (386) 227-7663

Other identifiers 1

IdentifierTypeStateIssuer
101854800MedicaidFL

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
MW329FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Volusia Tribe Community Pregnancy Clinic Corp Midwife CurrentSince Dec 28, 2022 Accepting new patients
The Birth Tribe LLC Midwife CurrentSince Dec 28, 2022 Accepting new patients

Locations

800 S Nova Rd
Ste R
Ormond Beach, FL 32174
Phone (386) 227-7663

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1366899825",
    "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": {
        "last_name": "BURR",
        "first_name": "SERENA",
        "credential": "CPM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW329",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101854800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

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