Individual provider Active NPI

Melissa K Conord-Morrow, LM, RN, IBCLC

  • Midwife
  • Lakeland, FL
National Provider Identifier
1467584631
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW175 Issued in FL
Practice address
1525 Edgewater Beach Dr
Lakeland, FL 33805-4737
Phone
(863) 680-2229
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-127181 FL
Doula 374J00000X
Midwife 176B00000X MW175 FL Primary

Addresses

Primary practice location

1525 Edgewater Beach Dr
Lakeland, FL 33805-4737

Mailing address

3914 Sunset Lake Dr
Lakeland, FL 33810-2839
Phone (863) 559-1991

Other names 1

  • Melissa Roberts Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-127181FLMDLactation Consultant (Registered Nurse)
MW175FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Nest of Lakeland Lactation Consultant Current Accepting new patients
Celebrate Birth Midwifery, Inc Midwife Current Accepting new patients
Labor of Love Childbirth Services, Inc Past Accepting new patients

Locations

1525 Edgewater Beach Dr
Lakeland, FL 33805
Phone (863) 680-2229

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1467584631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 SUNSET LAKE DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102839",
            "telephone_number": "863-559-1991",
            "fax_number": "888-299-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 EDGEWATER BEACH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054737",
            "telephone_number": "863-680-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONORD-MORROW",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "LM, RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "L-127181",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ROBERTS",
            "credential": "LM, CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.