Samantha Crickmore

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

License

MW306 Issued in FL

Legal business name

SAMANTHA CRICKMORE

Practice address

721 Foxbriar CV
Jacksonville, FL 32221-1508

Phone

(352) 278-4746

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha Brooke Crickmore, L.M., C.P.M.NPI 1700325834

Title

Licensed Midwife

Phone

(352) 278-4746

Specialties & licenses 1

Addresses

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.

• Samantha Brooke Crickmore, LM, CPM

  • Midwife
  • Jacksonville, FL
  • NPI 1700325834
  Authorized official Same address or phone

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1780074401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 FOXBRIAR CV",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211508",
            "telephone_number": "352-278-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 FOXBRIAR CV",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322211508",
            "telephone_number": "352-278-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA CRICKMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "CRICKMORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "352-278-4746",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M., C.P.M."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "FL",
            "license": "MW306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elvira Samardzic, ARNP

• Birthing Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Birthing Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.