Birth Blossoms LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW264 Issued in FL

Legal business name

BIRTH BLOSSOMS LLC

Practice address

1903 Sunrise Blvd
Fort Pierce, FL 34950-8101

Phone

(772) 475-8560

Fax

(772) 801-5293

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mary Louise Rainer, LMNPI 1134470826

Title

Director

Phone

(772) 475-8560

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Louise Rainer, LM

  • Midwife
  • Fort Pierce, FL
  • NPI 1134470826
  NPD (past) Authorized official

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1922438431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SUNRISE BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508101",
            "telephone_number": "772-475-8560",
            "fax_number": "772-801-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SUNRISE BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349508101",
            "telephone_number": "772-475-8560",
            "fax_number": "772-801-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTH BLOSSOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "RAINER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-475-8560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006593100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Mary Billette
• Daniel Bin
• Christopher L Binette, M.D.
• Michelle Binetti
• Tamas Biro
• Brandon Le'Charles Bishop, DO
• Sandra Bivens
• Raquel Bizzell
• Phyllis Black
• Tessa Maloney Black, RN

• Midwife in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.