Midwife Grace, LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

MIDWIFE GRACE, LLC

Doing business as

Grace Midwifery Collective

Practice address

340 Brakefield St
Slidell, LA 70458-3620

Phone

(985) 265-4032

Fax

(985) 202-4597

NPI assigned

Dec 14, 2023

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grace Jackson, CPMNPI 1912566886

Title

Clinical Director/Owner

Phone

(985) 773-0449

Specialties & licenses 2

Addresses

Other names 1

• Grace Midwifery Collective Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Jackson, CPM LM

  • Midwife
  • Slidell, LA
  • NPI 1912566886
  NPD Authorized official
• April Star Croucher, CPM

  • Advanced Practice Midwife
  • Gulfport, MS
  • NPI 1164204996
  NPD
• Adele Willman, RN

  • Maternal Newborn Registered Nurse
  • Slidell, LA
  • NPI 1063335537
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1578331971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BRAKEFIELD ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583620",
            "telephone_number": "985-265-4032",
            "fax_number": "985-202-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BRAKEFIELD ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583620",
            "telephone_number": "985-265-4032",
            "fax_number": "985-202-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWIFE GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "985-773-0449",
        "authorized_official_credential": "CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Midwifery Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Midwifery Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portia Meyers
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• Michael K Weil, MD, Apmc
• Scott Thomas Michaelson, D.O.
• Nicole Mick
• Milestones Counseling & Consulting, LLC
• Sydney Miley, APRN, FNP-C
• Miller Family Medicine, LLC
• Rashunda Miller Reed, LPC, LMFT
• Amanda V Miller, MOT, LOTR

• Birthing Clinic/Center in Slidell, LA
• Providers in Slidell, LA by specialty
• Birthing Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.