Organization Active NPI

Clover Leaf Midwifery, LLC

  • Midwife
  • Land O Lakes, FL
National Provider Identifier
1588360747
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
CLOVER LEAF MIDWIFERY, LLC
Practice address
4020 Blue Lantana LN
Land O Lakes, FL 34638-3561
Phone
(727) 387-3939
Fax
(813) 536-3061
NPI assigned
Jan 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Erica Lea Dibartolo-Barclay, LM, LMTNPI 1932557444
Title
Midwife, Owner
Phone
(352) 218-9288

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
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

4020 Blue Lantana LN
Land O Lakes, FL 34638-3561

Mailing address

18865 State Road 54
Ste 181
Lutz, FL 33558-8201

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1588360747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18865 STATE ROAD 54",
            "address_2": "STE 181",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588201",
            "fax_number": "813-536-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 BLUE LANTANA LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383561",
            "telephone_number": "727-387-3939",
            "fax_number": "813-536-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER LEAF MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "DIBARTOLO-BARCLAY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "MIDWIFE, OWNER",
        "authorized_official_telephone_number": "352-218-9288",
        "authorized_official_credential": "LM, LMT"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.