NPIMap

Organization Active NPI

Family Ties Prenatal Care LLC

  • Birthing Clinic/Center
  • Glendale, WI
National Provider Identifier
1922711340
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
FAMILY TIES PRENATAL CARE LLC
Practice address
5215 N Ironwood Rd Ste 202
Glendale, WI 53217-4908
Phone
(414) 338-6119
NPI assigned
Dec 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Authorized official

Name
Tamiko WilderNPI 1053614982
Title
Ceo
Phone
(414) 732-5160

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)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

5215 N Ironwood Rd Ste 202
Glendale, WI 53217-4908

Mailing address

5215 N Ironwood Rd Ste 202
Glendale, WI 53217-4908
Phone (414) 338-6119

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.

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672358400000",
    "number": "1922711340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N IRONWOOD RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174908",
            "telephone_number": "414-338-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N IRONWOOD RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174908",
            "telephone_number": "414-338-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIES PRENATAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-732-5160"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.