Birth Outside the Box LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

0129000052 Issued in VA

Legal business name

BIRTH OUTSIDE THE BOX LLC

Practice address

17232 Pickwick Dr
Purcellville, VA 20132-3100

Phone

(240) 422-3889

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Kim Pekin

Title

Member

Phone

(240) 422-3889

Specialties & licenses 1

Addresses

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": "1790175552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17232 PICKWICK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323100",
            "telephone_number": "240-422-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17232 PICKWICK DR",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323100",
            "telephone_number": "240-422-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH OUTSIDE THE BOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "PEKIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "240-422-3889"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129000052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midwife in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Midwife in Virginia

• 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.