Organization Active NPI

Descending Dove Nurse-Midwifery Inc

  • Advanced Practice Midwife
  • Port Saint Lucie, FL
National Provider Identifier
1457760241
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP9245853 Issued in FL
Legal business name
DESCENDING DOVE NURSE-MIDWIFERY INC
Practice address
330 Holly Ave
Port Saint Lucie, FL 34952-1338
Phone
(772) 224-8929
Fax
(772) 224-8929
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Ms. Jylynn Irene Krentz, ARNP
Title
Certified Nurse Midwife/President
Phone
(772) 224-8929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X ARNP9245853 FL Primary

Addresses

Primary practice location

330 Holly Ave
Port Saint Lucie, FL 34952-1338

Mailing address

330 Holly Ave
Port Saint Lucie, FL 34952-1338
Phone (772) 224-8929

Other identifiers 1

IdentifierTypeStateIssuer
307823000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1457760241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HOLLY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521338",
            "telephone_number": "772-224-8929",
            "fax_number": "772-224-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HOLLY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521338",
            "telephone_number": "772-224-8929",
            "fax_number": "772-224-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCENDING DOVE NURSE-MIDWIFERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "KRENTZ",
        "authorized_official_first_name": "JYLYNN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE/PRESIDENT",
        "authorized_official_telephone_number": "772-224-8929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9245853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307823000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.