Active NPI
Baby Roots Birth Services
- Health Service Clinic/Center
- Daytona Beach, FL
National Provider Identifier
1770905937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- BT-72927
- Legal business name
- BABY ROOTS BIRTH SERVICES
- Practice address
- 119 S Palmetto Ave
Suite 158
Daytona Beach, FL 32114-4387 - Phone
- (386) 562-8213
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jesse Marie Albatrosov, CLC, CCE
- Title
- Owner
- Phone
- (386) 562-8213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | BT-72927 | FL | Primary |
Addresses
Primary practice location
119 S Palmetto Ave
Suite 158
Daytona Beach, FL 32114-4387
Mailing address
119 S Palmetto Ave
Suite 158
Daytona Beach, FL 32114-4387
Phone (386) 562-8213
National Provider Directory
National Provider DirectoryLocations
119 S Palmetto Ave
Ste 158
Daytona Beach, FL 32114
Phone (386) 562-8213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1770905937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 S PALMETTO AVE",
"address_2": "SUITE 158",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144387",
"telephone_number": "386-562-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S PALMETTO AVE",
"address_2": "SUITE 158",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321144387",
"telephone_number": "386-562-8213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABY ROOTS BIRTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "ALBATROSOV",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-562-8213",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CLC, CCE"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "BT-72927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.