Active NPI
Heidi Susan Dahlborg, L.M.
- Lay Midwife
- Sarasota, FL
National Provider Identifier
1548336993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- MW123
- Practice address
- 5353 Midland Rd
Sarasota, FL 34231-6223 - Phone
- (941) 726-8203
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | MW123 | FL | Primary |
Addresses
Primary practice location
5353 Midland Rd
Sarasota, FL 34231-6223
Mailing address
5353 Midland Rd
Sarasota, FL 34231-6223
Phone (941) 726-8203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404404 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW123 | FL | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1548336993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5353 MIDLAND RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342316223",
"telephone_number": "941-726-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 MIDLAND RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342316223",
"telephone_number": "941-726-8203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLBORG",
"first_name": "HEIDI",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "FL",
"license": "MW123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404404",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.