Individual provider Active NPI

David Carter-Plake, LM, CPM

  • Midwife
  • Altamonte Springs, FL
National Provider Identifier
1811398597
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW469 Issued in FL
Practice address
165 Montgomery Rd
Altamonte Springs, FL 32714-3102
Phone
(407) 878-2757
NPI assigned
Sep 12, 2014
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Midwife 176B00000X MW469 FL Primary

Addresses

Primary practice location

165 Montgomery Rd
Altamonte Springs, FL 32714-3102

Mailing address

165 Montgomery Rd
Altamonte Springs, FL 32714-3102
Phone (808) 631-8612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623004558 FL Practitioner - Certified Nurse Midwife (CNM) 0941773733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571

250 Harrison St
Titusville, FL 32780-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MW469FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Birth and Gynecology CurrentSince Nov 24, 2024 Accepting new patients
The Retreat Maternity Services, LLC Past Accepting new patients

Locations

165 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 878-2757

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1811398597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143102",
            "telephone_number": "808-631-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MONTGOMERY RD",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143102",
            "telephone_number": "407-878-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-PLAKE",
        "first_name": "DAVID",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.