NPIMap

Organization Active NPI

Two Leaves Midwifery, LLC

  • Midwife
  • Provo, UT
National Provider Identifier
1841665692
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
9514053-3400 Issued in UT
Legal business name
TWO LEAVES MIDWIFERY, LLC
Practice address
365 N 900 W
Provo, UT 84601-2556
Phone
(801) 473-2527
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Elizabeth Ellsworth Stika, LDEM, CPM
Title
Midwife
Phone
(801) 473-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 9514053-3400 UT Primary

Addresses

Primary practice location

365 N 900 W
Provo, UT 84601-2556

Mailing address

365 N 900 W
Provo, UT 84601-2556
Phone (801) 473-2527

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1841665692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 N 900 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012556",
            "telephone_number": "801-473-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 N 900 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012556",
            "telephone_number": "801-473-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO LEAVES MIDWIFERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "STIKA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ELLSWORTH",
        "authorized_official_title_or_position": "MIDWIFE",
        "authorized_official_telephone_number": "801-473-2527",
        "authorized_official_credential": "LDEM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "UT",
            "license": "9514053-3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.