Active NPI
Miracle Midwifery, LLC
- Birthing Clinic/Center
- Layton, UT
National Provider Identifier
1407414980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 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 DirectoryLocations
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.