Active NPI
Lamitsoi Khailylah Jordan, LM
- Midwife
- Miami, FL
National Provider Identifier
1578846614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 246
- Practice address
- 57 NE 44TH St
Miami, FL 33137-3413 - Phone
- (305) 340-1189
- NPI assigned
- Sep 26, 2011
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 246 | FL | Primary |
Addresses
Primary practice location
57 NE 44TH St
Miami, FL 33137-3413
Mailing address
57 NE 44TH St
Miami, FL 33137-3413
Phone (305) 340-1189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246 | FL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Passage Midwifery | Midwife | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Miami, FL
- NPI 1831472992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1578846614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 NE 44TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373413",
"telephone_number": "305-340-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 NE 44TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331373413",
"telephone_number": "305-340-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "LAMITSOI",
"middle_name": "KHAILYLAH",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.