Individual provider Active NPI

Barbara Dembek, CNM

  • Advanced Practice Midwife
  • St Augustine, FL
National Provider Identifier
1386856326
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN2247762 Issued in FL
Practice address
300 Health Park Blvd
Suite 3002
St. Augustine, FL 32086-3703
Phone
(904) 819-1500
Fax
(904) 810-1023
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN2247762 FL Primary

Addresses

Primary practice location

300 Health Park Blvd
Suite 3002
St. Augustine, FL 32086-3703

Mailing address

300 Health Park Blvd
Suite 3002
St. Augustine, FL 32086-3703
Phone (904) 819-1500

Other identifiers 1

IdentifierTypeStateIssuer
301990000MedicaidFL

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)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1386856326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD",
            "address_2": "SUITE 3002",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320863703",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK BLVD",
            "address_2": "SUITE 3002",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320863703",
            "telephone_number": "904-819-1500",
            "fax_number": "904-810-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBEK",
        "first_name": "BARBARA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN2247762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301990000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.