Organization Active NPI

Maiden to Mother Midwifery, LLC

  • Midwife
  • Coconut Creek, FL
National Provider Identifier
1821593187
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW283 Issued in FL
Legal business name
MAIDEN TO MOTHER MIDWIFERY, LLC
Practice address
4431 NW 10TH St
Coconut Creek, FL 33066-1531
Phone
(954) 404-3502
Fax
(561) 560-8852
NPI assigned
Mar 28, 2018
Last updated
Jan 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Elizabeth Charron, LM, CPMNPI 1972851244
Title
Owner
Phone
(954) 404-3502

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
Midwife 176B00000X MW283 FL Primary

Addresses

Primary practice location

4431 NW 10TH St
Coconut Creek, FL 33066-1531

Mailing address

4431 NW 10TH St
Coconut Creek, FL 33066-1531
Phone (954) 404-3502

Other practice location 1

353 N Swinton Ave
Delray Beach, FL 33444-2725
Phone (561) 455-2703

Other identifiers 1

IdentifierTypeStateIssuer
009785100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1821593187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 NW 10TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661531",
            "telephone_number": "954-404-3502",
            "fax_number": "954-337-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 NW 10TH ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661531",
            "telephone_number": "954-404-3502",
            "fax_number": "561-560-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 N Swinton Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334442725",
            "country_code": "US",
            "telephone_number": "561-455-2703",
            "fax_number": "954-337-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAIDEN TO MOTHER MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "CHARRON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-404-3502",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009785100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.