Individual provider Active NPI

Tiffany Martin, LM, CPM

  • Midwife
  • St Augustine, FL
National Provider Identifier
1821749458
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
428 Issued in FL
Practice address
906 Anastasia Blvd
St Augustine, FL 32080-4664
Phone
(904) 900-0900
Fax
(904) 506-2012
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 428 FL Primary

Addresses

Primary practice location

906 Anastasia Blvd
St Augustine, FL 32080-4664

Mailing address

16 Ocean Woods Dr W
Saint Augustine, FL 32080-7920
Phone (512) 954-7937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
428FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sta Birth Collective Midwife CurrentSince Aug 18, 2024 Accepting new patients
Jacksonville Community Midwives LLC Midwife PastSince Jan 1, 2022 Accepting new patients

Locations

5A Sanchez Ave
St Augustine, FL 32084
Phone (904) 823-8833

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1821749458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OCEAN WOODS DR W",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807920",
            "telephone_number": "512-954-7937",
            "fax_number": "904-506-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 ANASTASIA BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804664",
            "telephone_number": "904-900-0900",
            "fax_number": "904-506-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.