DESTINY BOUND, LLC (NPI# 1427607019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427607019 |
| Entity Type | Organization |
| Organization Name | DESTINY BOUND, LLC |
| Practice Address |
3825 N Salem Road Fayetteville AR 72704 |
| Practice Telephone | 4794095479 |
| Mailing Telephone | 4794095479 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | TERESA FEDOSKY (SENIOR MIDWIFE) |
| Authorized Official Telephone | 4794095479 |
| Authorized Official Credential | CPM, LLM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| Other Name | Type Code |
|---|---|
| NWABABIES and Designing HEALTH | Doing Business As Name - Organization |
| Street Address |
3825 N SALEM ROAD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1346744232 | Wedington Dental, Pllc | Clinic/Center | 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 | 2018-03-23 |
| 1528410487 | Sharon Byrd | Licensed Practical Nurse | 17836 Harmon Rd, Fayetteville, AR 72704 | 2016-07-05 |
| 1861823502 | Andrea Warren | Pharmacist | 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 | 2013-12-05 |
| 1609157726 | Jessica Rose Collier | Speech-Language Pathologist | 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 | 2011-09-02 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1841512944 | Jill K Johnston | Speech-Language Pathologist | 3472 N Sandpiper Dr, Fayetteville, AR 72704 | 2010-02-17 |
| 1922335876 | Nina Valencia Spearmon | Social Worker | 1958 N Batsford Dr, Fayetteville, AR 72704 | 2009-11-13 |
| Find all providers in zip 72704 | ||||
| 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 |
|---|---|---|---|---|
| 1386120202 | Maria Shoaf Macdonald Camp | Midwife | 2103 E Lee St, Fayetteville, AR 72701-7335 | 2018-07-13 |
| 1093111072 | Heather Chowdhury | Midwife | 862 N Cato Springs Rd, Fayetteville, AR 72701-8868 | 2014-11-18 |
| 1275965675 | Kristin R Paulus | Midwife | 20336 Fayetteville Blanchester Rd, Fayetteville, OH 45118-8432 | 2013-08-07 |
| 1285959098 | Tracelynn Marie Cuneo | Midwife | 110 Watercrest Ln, Fayetteville, GA 30215-8183 | 2010-04-05 |
| 1023175585 | Marceal Schipper Johnson | Midwife | 3375 Galleria Dr Unit 9, Fayetteville, NC 28303-3888 | 2007-01-03 |
| 1881652246 | Paula Deva Hill | Midwife | 125 East Township Street, Suite 1, Fayetteville, AR 72703-2817 | 2006-05-03 |
| 1922562479 | Lauren E Mix | Midwife | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2019-01-29 |
| 1932540291 | Stephanie Ann Gray | Midwife | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 | 2013-07-15 |
| 1629204870 | Denise Davies | Midwife | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 | 2009-06-02 |
| 1194938381 | Georgiann Weaver | Midwife | 525 N Garland Ave, Fayetteville, AR 72701-3110 | 2007-05-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72704 |
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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.