Organization Active NPI

Miracle Midwifery, LLC

  • Birthing Clinic/Center
  • Layton, UT
National Provider Identifier
1407414980
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
MIRACLE MIDWIFERY, LLC
Practice address
360 S Fort LN Ste 1B
Layton, UT 84041-5700
Phone
(801) 923-8806
Fax
(801) 447-6037
NPI assigned
May 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Krista Lynn Miracle, CPM, LM
Title
Midwife
Phone
(801) 923-8806

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Birthing Clinic/Center 261QB0400X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

360 S Fort LN Ste 1B
Layton, UT 84041-5700

Mailing address

360 S Fort LN Ste 1B
Layton, UT 84041-5700
Phone (801) 923-8806

National Provider Directory

National Provider Directory

Locations

360 S Fort Ln
Ste 1B
Layton, UT 84041
Phone (801) 923-8806

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1407414980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S FORT LN STE 1B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415700",
            "telephone_number": "801-923-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S FORT LN STE 1B",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415700",
            "telephone_number": "801-923-8806",
            "fax_number": "801-447-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "801-923-8806",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.