Sacred Roots Midwifery Birth Center, Inc

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

SACRED ROOTS MIDWIFERY BIRTH CENTER, INC

Practice address

6620 Parkdale PL
Suite K
Indianapolis, IN 46254-5620

Phone

(317) 437-3681

Fax

(317) 552-2671

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Floyd, CNM

Title

Co-Owner/Administrative Director

Phone

(317) 437-3681

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15198/brand/6/csg/1/fhir/r4

Practitioners 4

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

• Angela D Lyttle, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1609126804
  NPD (past)
• January Sky McDonald, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1295471969
  NPD (past)
• Stephanie Roux, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1659133023
  NPD (past)
• Shelby D Smith, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
  • NPI 1447972526
  NPD (past)

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1558717561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL",
            "address_2": "SUITE K",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545620",
            "telephone_number": "317-437-3681",
            "fax_number": "317-552-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 PARKDALE PL",
            "address_2": "SUITE K",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545620",
            "telephone_number": "317-437-3681",
            "fax_number": "317-552-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ROOTS MIDWIFERY BIRTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "317-437-3681",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trish Sachse, DPT
• James Sackett, D.O
• Rachel Sackett, BCABA
• Abena Sackey, NP
• Madison Sacks, DO
• Sacred Roots Midwifery, LLC
• John S Saczawa IV, MD
• Marie Saczawa
• Umm Hanee Sadaf, MD
• Mohammed Osman Sadat, MD

• Birthing Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Birthing Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.