Beautiful Mountain Birth & Midwifery

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

BEAUTIFUL MOUNTAIN BIRTH & MIDWIFERY

Practice address

7611 S Jordan Landing Blvd Ste 120&130
West Jordan, UT 84084-5610

Phone

(801) 252-6243

NPI assigned

May 7, 2019

Last updated

May 7, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

BEAUTIFUL MOUNTAIN BIRTH SUITES, LLCAs reported in NPPES

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

Authorized official

Name

Angie Rena Blackett, CPM, LDEMNPI 1033372081

Title

Owner/Director

Phone

(801) 200-1873

Specialties & licenses 1

Addresses

Other names 1

• Beautiful Mountain Birth Centers Other name

Part of

Beautiful Mountain Birth Suites LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Beautiful Mountain Birth Suites, LLC

  • Birthing Clinic/Center
  • Draper, UT
  • NPI 1548643745
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angie Rena Blackett, RN, CPM, LDEM

  • Midwife
  • Herriman, UT
  • NPI 1033372081
  NPD (past) Authorized official

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1700441672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E 12300 S STE 2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208276",
            "telephone_number": "801-252-6243",
            "fax_number": "801-901-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 S JORDAN LANDING BLVD STE 120&130",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845610",
            "telephone_number": "801-252-6243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 E 12300 S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208276",
            "country_code": "US",
            "telephone_number": "801-252-6243",
            "fax_number": "801-901-4531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUTIFUL MOUNTAIN BIRTH & MIDWIFERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAUTIFUL MOUNTAIN BIRTH SUITES, LLC",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BLACKETT",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "801-200-1873",
        "authorized_official_credential": "CPM, LDEM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Mountain Birth Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kiersten Paulette Battin
• Dean T Bawden, D.D.S.
• Bear Creek Counseling,LLC
• Kaia Pearl Beard
• Victoria Beattie
• Beaver Valley Hospital (Copper Ridge Health Care)
• Beaver Valley Hospital (Copper Ridge Health Care Therapy)
• Frances Bechek, M.D.
• Catherine Elizabeth Beck, MD
• Megan Beck

• Midwife in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.