Organization Active NPI

Birth Collective of Jacksonville

  • Midwife
  • Orange Park, FL
National Provider Identifier
1760990055
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
BIRTH COLLECTIVE OF JACKSONVILLE
Practice address
684 Timbermill LN
Orange Park, FL 32065-2231
Phone
(904) 633-3333
NPI assigned
Jan 20, 2018
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Shea Cintron, LM, CNMNPI 1598195935
Title
Midwife/Owner
Phone
(904) 633-3333

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
Midwife 176B00000X Primary

Addresses

Primary practice location

684 Timbermill LN
Orange Park, FL 32065-2231

Mailing address

684 Timbermill LN
Orange Park, FL 32065-2231
Phone (904) 633-3333

National Provider Directory

National Provider Directory

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": "1516406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1760990055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 TIMBERMILL LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652231",
            "telephone_number": "904-633-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 TIMBERMILL LN",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652231",
            "telephone_number": "904-633-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH COLLECTIVE OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-20",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "CINTRON",
        "authorized_official_first_name": "SHEA",
        "authorized_official_title_or_position": "MIDWIFE/OWNER",
        "authorized_official_telephone_number": "904-633-3333",
        "authorized_official_credential": "LM, CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.