Active NPI
Maiden to Mother Midwifery, LLC
- Midwife
- Coconut Creek, FL
National Provider Identifier
1821593187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW283
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Charron, LM, CPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009785100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Midwife
- Boynton Beach, FL
- NPI 1972851244
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.