Organization Active NPI

Birth and Wellness Center LLC

  • Advanced Practice Midwife
  • O'Fallon, MO
National Provider Identifier
1467701805
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2010015977 Issued in MO
Legal business name
BIRTH AND WELLNESS CENTER LLC
Practice address
769 W Terra LN
O Fallon, MO 63366-2432
Phone
(314) 369-8637
Fax
(877) 533-4456
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Jessica Henman, CNM
Title
Director
Phone
(314) 369-8637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 100863 MO
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 2010015977 MO Primary

Addresses

Primary practice location

769 W Terra LN
O Fallon, MO 63366-2432

Mailing address

27880 Beverly Dr
Wright City, MO 63390-4449
Phone (314) 369-8637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1467701805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27880 BEVERLY DR",
            "city": "WRIGHT CITY",
            "state": "MO",
            "postal_code": "633904449",
            "telephone_number": "314-369-8637",
            "fax_number": "877-533-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 W TERRA LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662432",
            "telephone_number": "314-369-8637",
            "fax_number": "877-533-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "HENMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-369-8637",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "100863",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2010015977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.