Individual provider Active NPI

Michelle Isla, LM

  • Midwife
  • Winter Park, FL
National Provider Identifier
1457787319
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW277 Issued in FL
Practice address
230 Benmore Dr
Winter Park, FL 32792-4101
Phone
(407) 469-5050
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW277 FL Primary

Addresses

Primary practice location

230 Benmore Dr
Winter Park, FL 32792-4101

Mailing address

422 Red Coat LN
Orlando, FL 32825-3333
Phone (407) 469-5050

Other identifiers 1

IdentifierTypeStateIssuer
009762300MedicaidFL

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
MW277FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Birth Midwifery Service, Inc Midwife CurrentSince Sep 1, 2022 Accepting new patients

Locations

230 Benmore Dr
Winter Park, FL 32792
Phone (407) 469-5050

2020 Crosby Way
Winter Park, FL 32792
Phone (407) 504-7722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1457787319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 RED COAT LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253333",
            "telephone_number": "407-469-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-469-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLA",
        "first_name": "MICHELLE",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009762300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.