Gloria J. Lelaidier, ARNP, CNMW

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

ARNP 1634442 Issued in FL

Practice address

301 Health Park Blvd
Ste 219
Saint Augustine, FL 32086-5795

Phone

(904) 819-9898

Fax

(904) 819-9594

NPI assigned

Aug 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ancient City Midwives Inc

  • Advanced Practice Midwife
  • St Augustine, FL
  • NPI 1720236383
  NPD (past)

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1730335100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16568",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456568",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "STE 219",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865795",
            "telephone_number": "904-819-9898",
            "fax_number": "904-819-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAIDIER",
        "first_name": "GLORIA",
        "middle_name": "J.",
        "credential": "ARNP, CNMW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 1634442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y3038",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000392200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Lee, DMD
• Ki Bum Lee
• Patrick Leffers, PHARMD
• Legacy Comfort Care LLC
• Marc Lei
• Lending Hands of Inspiration
• Deborah Lennon, OTR/L
• Samantha Lentz
• Christopher Lenz, PHARMD
• Leopoldo B Gonzalez MD PA

• Advanced Practice Midwife in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.