Organization Active NPI

Joy Midwifery and Women's Health

Doing business as Livly Wellness

  • Health Service Clinic/Center
  • Woodbury, MN
National Provider Identifier
1720601875
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JOY MIDWIFERY AND WOMEN'S HEALTH
Doing business as
Livly Wellness
Practice address
3549 Bailey Ridge Dr
Woodbury, MN 55125-8463
Phone
(917) 470-0518
NPI assigned
May 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Susannah 16163 In Okutoro-Ketter, MSN CNMNPI 1578848586
Title
Certified Nurse Midwife
Phone
(917) 470-0518

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3549 Bailey Ridge Dr
Woodbury, MN 55125-8463

Mailing address

3549 Bailey Ridge Dr
Woodbury, MN 55125-8463
Phone (917) 470-0518

Other names 1

  • Livly Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2218291Joy Midwifery & Women's Health3549 Bailey Ridge Drive, Woodbury, MN 55125Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22894/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1720601875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 BAILEY RIDGE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258463",
            "telephone_number": "917-470-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 BAILEY RIDGE DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551258463",
            "telephone_number": "917-470-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY MIDWIFERY AND WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "OKUTORO-KETTER",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "16163 IN",
        "authorized_official_title_or_position": "CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "917-470-0518",
        "authorized_official_credential": "MSN CNM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livly Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.