Active NPI
Sally Elizabeth Acosta, CPM, LM
- Midwife
- Covington, LA
National Provider Identifier
1730458621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MDW.200006
- Practice address
- 225 Inspiration LN
Covington, LA 70433-7420 - Phone
- (985) 259-3557
- Fax
- (985) 893-8742
- NPI assigned
- Dec 21, 2011
- Last updated
- Dec 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MDW.200006 | LA | Primary |
Addresses
Primary practice location
225 Inspiration LN
Covington, LA 70433-7420
Mailing address
225 Inspiration LN
Covington, LA 70433-7420
Phone (985) 259-3557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDW.200006 | Other | LA | LOUISIANA LICENSE FROM BOARD OF MEDICAL EXAMINERS |
| 11030033 | Other | LA | CERTIFIED PROFESSION MIDWIFE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDW.200006 | LA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1730458621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 INSPIRATION LN",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337420",
"telephone_number": "985-259-3557",
"fax_number": "985-893-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 INSPIRATION LN",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337420",
"telephone_number": "985-259-3557",
"fax_number": "985-893-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "SALLY",
"middle_name": "ELIZABETH",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "LA",
"license": "MDW.200006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA LICENSE FROM BOARD OF MEDICAL EXAMINERS",
"identifier": "MDW.200006",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PROFESSION MIDWIFE",
"identifier": "11030033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Acadian Health Psychology LLC
- Accelerated Hand Solutions, LLC
- Access Health Louisiana (Covington Head Start & Early Head Start)
- Access Health Louisiana (St Tammany Community Health Center Covington)
- Kyle Valentino Acosta, MD
- Weston Benjamin Acosta, OD
- Adam Roussel Inc
- Brandi Nicole Adams
- Joseph Lawrence Adams, R.PH.
- Kayla Adams, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.