DC Mobile Midwife LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

DC MOBILE MIDWIFE LLC

Practice address

5227 Chillum PL NE
Washington, DC 20011-6417

Phone

(202) 630-7177

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Robin Tucker, CNM

Title

Owner, Certified Nurse Midwife

Phone

(202) 630-7177

Specialties & licenses 3

Addresses

Other names 1

• Modern Mobile Midwife LLC Former legal business name

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1962024877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 8TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222042616",
            "telephone_number": "202-630-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 CHILLUM PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116417",
            "telephone_number": "202-630-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC MOBILE MIDWIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER, CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "202-630-7177",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Mobile Midwife LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Service Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Health Service Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.