Individual provider Active NPI

Elizabeth Charron, LM, CPM

  • Midwife
  • Boynton Beach, FL
National Provider Identifier
1972851244
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW283 Issued in FL
Practice address
236 SE 23Rd Ave
Boynton Beach, FL 33435-7620
Phone
(561) 455-2703
Fax
(561) 560-8852
NPI assigned
Aug 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 341 FL
Midwife 176B00000X MW283 FL Primary

Addresses

Primary practice location

236 SE 23Rd Ave
Boynton Beach, FL 33435-7620

Mailing address

236 SE 23Rd Ave
Boynton Beach, FL 33435-7620
Phone (561) 455-2703

Other practice location 1

4431 NW 10th St
Coconut Creek, FL 33066-1531
Phone (954) 404-3502

Other identifiers 1

IdentifierTypeStateIssuer
009785100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MW283FLMDMidwife
341FLMDBirthing Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Palms Birth House Birthing Current Accepting new patients
Private Healthcare Facilities Birthing Past Accepting new patients
Maiden to Mother Midwifery, LLC Midwife PastSince Dec 1, 2019 Accepting new patients

Locations

236 SE 23rd Ave
Boynton Beach, FL 33435
Phone (561) 819-0620

353 N Swinton Ave
Delray Beach, FL 33444
Phone (561) 206-4676

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1972851244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357620",
            "telephone_number": "561-455-2703",
            "fax_number": "561-560-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SE 23RD AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357620",
            "telephone_number": "561-455-2703",
            "fax_number": "561-560-8852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4431 NW 10th St",
            "address_purpose": "LOCATION",
            "city": "Coconut Creek",
            "state": "FL",
            "postal_code": "330661531",
            "country_code": "US",
            "telephone_number": "954-404-3502",
            "fax_number": "561-560-8852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARRON",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "FL",
            "license": "341",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009785100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.