Brianna Jackson, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

2275 N Volusia Ave Ste 200
Orange City, FL 32763-2833

Phone

(904) 514-4928

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hontoon Family, LLC

  dba Amabella Birth Center

  • Birthing Clinic/Center
  • Orange City, FL
  • NPI 1205572633
  NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1396570768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ENTERPRISE RD STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 N VOLUSIA AVE STE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632833",
            "telephone_number": "904-514-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIANNA",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Foot and Ankle Surgery
• Intergrated Alternative Professionals
• Interventional Pain Rehab and Regenerative Center of Florida (Anti-Aging, Regeneration and Pain Center)
• Kathleen Iosue, ARNP
• Miranda Itule
• David M Jackson, PA-C
• Sheryl L. Jackson, MS, CCC-A
• Kwana Jacobs
• Maya Jacobs
• Jaime J Perez DC Inc (OneCare Health Associates)

• Midwife in Orange City, FL
• Providers in Orange City, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.