Organization Active NPI

Bedrock Midwifery & Wellness, LLC

  • Advanced Practice Midwife
  • Glendale, AZ
National Provider Identifier
1578414637
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
BEDROCK MIDWIFERY & WELLNESS, LLC
Practice address
5622 W Palmaire Ave
Glendale, AZ 85301-2510
Phone
(207) 615-7297
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Lara El-Hoss, APRN, CNMNPI 1962395939
Title
Owner
Phone
(207) 615-7297

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

5622 W Palmaire Ave
Glendale, AZ 85301-2510

Mailing address

5622 W Palmaire Ave
Glendale, AZ 85301-2510
Phone (602) 430-4257

National Provider Directory

National Provider Directory

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": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1578414637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 W PALMAIRE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012510",
            "telephone_number": "602-430-4257",
            "fax_number": "480-907-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 W PALMAIRE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012510",
            "telephone_number": "207-615-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK MIDWIFERY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "EL-HOSS",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-615-7297",
        "authorized_official_credential": "APRN, CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.