Breath of Life Midwifery LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

0129000050 Issued in VA

Legal business name

BREATH OF LIFE MIDWIFERY LLC

Practice address

1917 Franklin Rd SW Ste 102C
Roanoke, VA 24014-1133

Phone

(540) 676-7288

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Crystal Fink, CPM LM

Title

Owner

Phone

(540) 676-7288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1407236219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 FRANKLIN RD SW STE 102C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141133",
            "telephone_number": "540-676-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 FRANKLIN RD SW STE 102C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141133",
            "telephone_number": "540-676-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-676-7288",
        "authorized_official_credential": "CPM LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.