Organization Active NPI

Authentic Birth Center . Wellness Collective, LLC

  • Birthing Clinic/Center
  • Wauwatosa, WI
National Provider Identifier
1669807707
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
AUTHENTIC BIRTH CENTER . WELLNESS COLLECTIVE, LLC
Practice address
530 N 108TH PL
Suite 100
Wauwatosa, WI 53226-4253
Phone
(414) 559-2229
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Mrs. Lanette Joy McQuitty, LM, CPM
Title
Owner,
Phone
(414) 559-2229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X WI Primary

Addresses

Primary practice location

530 N 108TH PL
Suite 100
Wauwatosa, WI 53226-4253

Mailing address

530 N 108TH PL
Suite 100
Wauwatosa, WI 53226-4253
Phone (414) 559-2229

National Provider Directory

National Provider Directory

Locations

530 N 108th Pl
Ste 100
Wauwatosa, WI 53226
Phone (414) 231-9640

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1669807707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-559-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N 108TH PL",
            "address_2": "SUITE 100",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264253",
            "telephone_number": "414-559-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC BIRTH CENTER . WELLNESS COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MCQUITTY",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER,",
        "authorized_official_telephone_number": "414-559-2229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.