Individual provider Active NPI

Estee Zosman, LM

  • Midwife
  • Deland, FL
National Provider Identifier
1417438037
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
368 Issued in FL
Practice address
125 W Plymouth Ave
Deland, FL 32720-2745
Phone
(386) 279-0145
NPI assigned
Aug 22, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW368 FL
Midwife 176B00000X 368 FL Primary

Addresses

Primary practice location

125 W Plymouth Ave
Deland, FL 32720-2745

Mailing address

403 Cross St
Deland, FL 32724-3715
Phone (305) 986-7791

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
368FLMDMidwife
MW368FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Midwifery Midwife CurrentSince Jul 24, 2022 Accepting new patients

Locations

125 W Plymouth Ave
Ste B
Deland, FL 32720
Phone (386) 222-2990

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1417438037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CROSS ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327243715",
            "telephone_number": "305-986-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202745",
            "telephone_number": "386-279-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOSMAN",
        "first_name": "ESTEE",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW368",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.