VITALITY GENERATION & MIDWIFERY LLC (NPI# 1336669100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336669100 |
| Entity Type | Organization |
| Organization Name | VITALITY GENERATION & MIDWIFERY LLC |
| Practice Address |
5319 S 500 E Ste C Ogden UT 84405-7218 |
| Mailing Address |
431 E 2700 N Ogden UT 84414 |
| Practice Telephone | 8019176104 |
| Practice Fax Number | 8014365182 |
| Mailing Telephone | 8016284573 |
| Mailing Fax Number | 8014365182 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | MRS. LORETTA S. SHUPE (CEO) |
| Authorized Official Telephone | 8016284573 |
| Authorized Official Credential | CPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 175M00000X | Midwife, Lay | Other Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 176B00000X | Midwife | Other Service Providers |
| Other Name | Type Code |
|---|---|
| My Family Birth Center | Doing Business As Name - Organization |
| Street Address |
5319 S 500 E STE C |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406929 | Nicole Elizabeth Amstutz | Advanced Practice Midwife | 5319 S 500 E Ste C, Ogden, UT 84405-7218 | 2020-10-28 |
| 1760970263 | Tara Jeanine Mansius | Midwife | 5319 S 500 E Ste C, Ogden, UT 84405-7218 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760970263 | Tara Jeanine Mansius | Midwife | 5319 S 500 E Ste C, Ogden, UT 84405-7218 | 2018-04-30 |
| 1619121738 | Mari R Stuart | Midwife | 5495 S 500 E, Ste 310, Ogden, UT 84405-6923 | 2008-11-17 |
| 1831203363 | Laura Wilkinson | Midwife | 5495 S 500 E, Suite 320, Ogden, UT 84405-6923 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707684 | Rachel Twelmeyer | Midwife | 330 E 2200 N, Provo, UT 84604-5847 | 2020-10-14 |
| 1902420300 | Eric Merrill | Midwife | 274 N Foxboro Dr, North Salt Lake, UT 84054-6006 | 2020-06-01 |
| 1740809714 | Lisa K Ellingford | Midwife | 1320 E Sr 119, Richfield, UT 84701-9407 | 2020-04-10 |
| 1477180396 | Holly Joy Richardson | Midwife | 882 W 2800 N, Pleasant Grove, UT 84062-8027 | 2020-03-23 |
| 1548890890 | Amber Heather Adams | Midwife | 4863 W South Jordan Pkwy, South Jordan, UT 84009-5940 | 2020-01-24 |
| 1437702172 | Carlie Kay Naval | Midwife | 645 W Fern Dr, Midvale, UT 84047-7254 | 2019-07-22 |
| 1811554587 | Anna Christine Gilmore | Midwife | 545 N 800 E, Orem, UT 84097-4253 | 2019-05-28 |
| 1457818379 | Seasons Warner | Midwife | 448 W 600 S, Payson, UT 84651-2707 | 2019-02-27 |
| 1386118255 | Annette Ranae Himes | Midwife | 1756 W Antelope Dr Bsmt, Layton, UT 84041-1143 | 2019-01-14 |
| 1073082269 | Christine E Larson | Midwife | 85 M St, Salt Lake City, UT 84103-3850 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.