Wild Roots Birth Collective LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

WILD ROOTS BIRTH COLLECTIVE LLC

Practice address

1164A E Gannon Dr
Festus, MO 63028-2604

Phone

(573) 944-1832

NPI assigned

May 16, 2026

Organization subpart

No

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

Authorized official

Name

Jacquelyne Livengood, CDNPI 1063274371

Title

Ceo

Phone

(573) 944-1832

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyne Livengood, DOULA

  • Doula
  • De Soto, MO
  • NPI 1063274371
  NPD Authorized official

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

{
    "created_epoch": "1778889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778889600000",
    "number": "1689503500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14268 SPRING DR",
            "city": "DE SOTO",
            "state": "MO",
            "postal_code": "630205146",
            "telephone_number": "573-944-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164A E GANNON DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282604",
            "telephone_number": "573-944-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROOTS BIRTH COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-16",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A",
        "authorized_official_last_name": "LIVENGOOD",
        "authorized_official_first_name": "JACQUELYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-944-1832",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess White
• Kendra Leann Whitman
• Kristin Whitwell
• Carrie Wickerham
• Stephanie M Wideman, MSW, LCSW
• Shelby Wilfong
• Deanna C Wilken, P.T.A.
• Kaitlyn Lee Wilkinson, OTR/L
• Caree Williams
• Eric Williams

• Doula in Festus, MO
• Providers in Festus, MO by specialty
• Doula in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.