NPIMap

Organization Active NPI

Jacksonville Community Midwives LLC

  • Midwife
  • Orange Park, FL
National Provider Identifier
1376193839
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
JACKSONVILLE COMMUNITY MIDWIVES LLC
Practice address
2301 Park Ave Ste 203
Orange Park, FL 32073-5558
Phone
(904) 203-8559
Fax
(904) 592-5282
NPI assigned
Sep 17, 2019
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Ms. Jennifer Stone, LM, CPM, LPN, CLCNPI 1821500455
Title
Managing Member
Phone
(904) 203-8559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X NU Primary

Addresses

Primary practice location

2301 Park Ave Ste 203
Orange Park, FL 32073-5558

Mailing address

2301 Park Ave Ste 203
Orange Park, FL 32073-5558
Phone (904) 203-8559

National Provider Directory

National Provider Directory

Locations

2301 Park Ave
Ste 203
Orange Park, FL 32073
Phone 9042038559 ext. 701

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1376193839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PARK AVE STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735558",
            "telephone_number": "904-203-8559",
            "fax_number": "904-592-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PARK AVE STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735558",
            "telephone_number": "904-203-8559",
            "fax_number": "904-592-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE COMMUNITY MIDWIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "904-203-8559",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LM, CPM, LPN, CLC"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.