NPIMap

Organization Active NPI

Willoughby Midwifery LLC

Doing business as The Birth Center of St Pete

  • Midwife
  • St Petersburg, FL
National Provider Identifier
1730579699
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW289 Issued in FL
Legal business name
WILLOUGHBY MIDWIFERY LLC
Doing business as
The Birth Center of St Pete
Practice address
1405 Dr MLK Jr St N
Saint Petersburg, FL 33704
Phone
(727) 895-2300
Fax
(727) 895-2375
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Jessica Darlene Willoughby
Title
Owner
Phone
(727) 895-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW289 FL Primary

Addresses

Primary practice location

1405 Dr MLK Jr St N
Saint Petersburg, FL 33704

Mailing address

1405 Dr MLK Jr St N
Saint Petersburg, FL 33704
Phone (727) 895-2300

Other names 1

  • The Birth Center of St Pete Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Birth Center of St Pete2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1730579699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 DR MLK JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-895-2300",
            "fax_number": "727-895-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 DR MLK JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-895-2300",
            "fax_number": "727-895-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOUGHBY MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLOUGHBY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-895-2300"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Birth Center of St Pete",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.