NPIMap

Organization Active NPI

Tree of Life Birth Center

  • Midwife
  • Fredericksburg, VA
National Provider Identifier
1497281075
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0129000033 Issued in VA
Legal business name
TREE OF LIFE BIRTH CENTER
Practice address
1003 Mahone St
Suite 102
Fredericksburg, VA 22401-6214
Phone
(540) 841-4863
Fax
(540) 227-7472
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Leah Paul, CPM LMNPI 1295196954
Title
Owner
Phone
(540) 841-4863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 0129000114 VA
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X 0129000033 VA Primary

Addresses

Primary practice location

1003 Mahone St
Suite 102
Fredericksburg, VA 22401-6214

Mailing address

1003 Mahone St
Suite 102
Fredericksburg, VA 22401-6214

Other identifiers 2

IdentifierTypeStateIssuer
1295196954OtherVANPI
1487835492OtherVANPI

National Provider Directory

National Provider Directory

Locations

1003 Mahone St
Ste 102
Fredericksburg, VA 22401
Phone (540) 841-4863

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1497281075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MAHONE ST",
            "address_2": "SUITE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MAHONE ST",
            "address_2": "SUITE 102",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016214",
            "telephone_number": "540-841-4863",
            "fax_number": "540-227-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-841-4863",
        "authorized_official_credential": "CPM LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000114",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295196954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487835492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.