NPIMap

Organization Active NPI

Spirit of Life Traditional Midwifery

  • Midwife
  • Miami, FL
National Provider Identifier
1902021322
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW 141 Issued in FL
Legal business name
SPIRIT OF LIFE TRADITIONAL MIDWIFERY
Practice address
17304 Walker Ave
#116
Miami, FL 33157-4389
Phone
(786) 287-0484
Fax
(305) 235-6688
NPI assigned
Apr 13, 2007
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Ms. Sheila Simms Watson, L.M.NPI 1821213299
Title
President
Phone
(786) 287-0484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW 141 FL Primary

Addresses

Primary practice location

17304 Walker Ave
#116
Miami, FL 33157-4389

Mailing address

9745 SW 161St St
Miami, FL 33157-3315
Phone (786) 287-0484

Other identifiers 3

IdentifierTypeStateIssuer
340228200MedicaidFL
Y005ROtherFLBLUE CROSS PROVIDER #
N205340OtherFLHEALTHEASE PROVIDER #

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1902021322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 161ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573315",
            "telephone_number": "786-287-0484",
            "fax_number": "305-235-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 WALKER AVE",
            "address_2": "#116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574389",
            "telephone_number": "786-287-0484",
            "fax_number": "305-235-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF LIFE TRADITIONAL MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "SIMMS WATSON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-287-0484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW 141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340228200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "Y005R",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE PROVIDER #",
            "identifier": "N205340",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.