First Coast Midwifery Services LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

FIRST COAST MIDWIFERY SERVICES LLC

Practice address

7117 Blache CT
Jacksonville, FL 32210-4868

Phone

(904) 990-3619

Fax

(904) 562-3402

NPI assigned

Apr 9, 2018

Organization subpart

No

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

Authorized official

Name

Samantha Crickmore, LM CPM

Title

Owner

Phone

(904) 990-3619

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kellyanne Saoirse Jaber, LM, CPM

  • Midwife
  • Jacksonville, FL
  • NPI 1053808592
  NPD (past)

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1437656303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 BLACHE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104868",
            "telephone_number": "904-990-3619",
            "fax_number": "904-562-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 BLACHE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104868",
            "telephone_number": "904-990-3619",
            "fax_number": "904-562-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST MIDWIFERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CRICKMORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-990-3619",
        "authorized_official_credential": "LM CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Laboratories
• First Coast LTC Inc
• First Coast Medical Associates LLC
• First Coast Medical Center Inc
• First Coast Medicine PLLC
• First Coast Nephrology Inc
• First Coast Orthopedic Associates LLC
• First Coast Orthopedic Center, LLC
• First Coast Pathology Associates, LLC
• First Coast Periodontics, PA

• Midwife in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.