Organization Active NPI

Desert Blossom Midwifery LLC

  • Advanced Practice Midwife
  • Sierra Vista, AZ
National Provider Identifier
1669889473
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
DESERT BLOSSOM MIDWIFERY LLC
Practice address
4810 E Highway 90
Sierra Vista, AZ 85635-2440
Phone
(520) 335-1128
Fax
(520) 335-1132
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Misty L. Decker, CNM
Title
Owner
Phone
(520) 335-1128

Specialties & licenses 1

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

Addresses

Primary practice location

4810 E Highway 90
Sierra Vista, AZ 85635-2440

Mailing address

4810 E Highway 90
Sierra Vista, AZ 85635-2440
Phone (520) 335-1128

National Provider Directory

National Provider Directory

Locations

2160 E Fry Blvd
Ste C5
Sierra Vista, AZ 85635
Phone (520) 335-7135

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11905/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1669889473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352440",
            "telephone_number": "520-335-1128",
            "fax_number": "520-335-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352440",
            "telephone_number": "520-335-1128",
            "fax_number": "520-335-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BLOSSOM MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-335-1128",
        "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": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.