Organization Active NPI

Sacred Birth Midwifery Service, Inc

  • Midwife
  • Winter Park, FL
National Provider Identifier
1770919573
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW277 Issued in FL
Legal business name
SACRED BIRTH MIDWIFERY SERVICE, INC
Practice address
230 Benmore Dr
Winter Park, FL 32792-4101
Phone
(407) 469-5050
Fax
(407) 942-2044
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Michelle Isla, LM, CPMNPI 1457787319
Title
Owner/Midwife
Phone
(407) 766-2857

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
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW277 FL Primary

Addresses

Primary practice location

230 Benmore Dr
Winter Park, FL 32792-4101

Mailing address

422 Red Coat LN
Orlando, FL 32825-3333
Phone (407) 766-2857

Other identifiers 1

IdentifierTypeStateIssuer
009762300MedicaidFL

National Provider Directory

National Provider Directory

Locations

2020 Crosby Way
Winter Park, FL 32792
Phone (407) 504-7722

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1770919573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 RED COAT LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253333",
            "telephone_number": "407-766-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BENMORE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924101",
            "telephone_number": "407-469-5050",
            "fax_number": "407-942-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED BIRTH MIDWIFERY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "ISLA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/MIDWIFE",
        "authorized_official_telephone_number": "407-766-2857",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009762300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.