Active NPI
Her Time Healthcare LLC
- Advanced Practice Midwife
- Palm Beach Gardens, FL
National Provider Identifier
1659981777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Legal business name
- HER TIME HEALTHCARE LLC
- Practice address
- 3400 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4347 - Phone
- (561) 425-9096
- NPI assigned
- Aug 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Etheridge-Bagley, CNM
- Title
- Owner
- Phone
- (561) 248-0828
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
3400 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4347
Mailing address
12291 76TH Rd N
West Palm Beach, FL 33412-2277
Phone (561) 248-0828
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WWW.AESTHETICRECORD.COM | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
3400 Burns Rd
Ste 200
Palm Beach Gardens, FL 33410
Phone (561) 425-9096
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Carbondale, IL
- NPI 1417340530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1659981777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12291 76TH RD N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334122277",
"telephone_number": "561-248-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BURNS RD STE 200",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104347",
"telephone_number": "561-425-9096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HER TIME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "ETHERIDGE-BAGLEY",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-248-0828",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WWW.AESTHETICRECORD.COM",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "3400 Burns Rd Ste 200",
"city": "Palm Beach Gardens",
"state": "FL",
"country_code": "US",
"postal_code": "334104347",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.