SACRED ROOTS MIDWIFERY BIRTH CENTER, INC (NPI# 1558717561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558717561 |
| Entity Type | Organization |
| Organization Name | SACRED ROOTS MIDWIFERY BIRTH CENTER, INC |
| Practice Address |
6620 Parkdale Pl Suite K Indianapolis IN 46254-5620 |
| Practice Telephone | 3174373681 |
| Practice Fax Number | 3175522671 |
| Mailing Telephone | 3174373681 |
| Mailing Fax Number | 3175522671 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | VICTORIA FLOYD (CO-OWNER/ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3174373681 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
IN | Ambulatory Health Care Facilities |
| Street Address |
6620 PARKDALE PL SUITE K |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720061732 | Daniel Myron Overcash | Internal Medicine | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2005-11-23 |
| 1801347000 | Lori Endicott-cook | Nurse Practitioner | 6620 Parkdale Pl, Suite D, Indianapolis, IN 46254-5620 | 2016-10-23 |
| 1215390778 | Sacred Roots Midwifery, LLC | Advanced Practice Midwife | 6620 Parkdale Pl, Suite K, Indianapolis, IN 46254-5620 | 2016-04-01 |
| 1447457346 | Meenu Goel | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2007-07-02 |
| 1619059276 | Tronya N Hawkins | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-10-20 |
| 1558443127 | Tameka S O'neal | Obstetrics & Gynecology | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-10-20 |
| 1346257789 | Angela Johnson | Internal Medicine | 6620 Parkdale Pl, Indianapolis, IN 46254-5620 | 2006-08-01 |
| 1396781357 | Brian W Haag | Surgery | 6620 Parkdale Pl, Suite N, Indianapolis, IN 46254-5620 | 2006-06-20 |
| 1750329132 | Southerncare, Inc. | Hospice Care, Community Based | 6620 Parkdale Pl, Suite N, Indianapolis, IN 46254-4697 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972626307 | Nurse-midwives of Indianapolis, PC | Clinic/Center | 2110 W 38th St, Indianapolis, IN 46228-3202 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528629797 | Birth Center Operations, LLC | Clinic/Center | 9835 Auburn Rd, Fort Wayne, IN 46825-2347 | 2019-06-27 |
| 1073172367 | Kelli Nicole Brien | Clinic/Center | 115 E Woodside St, South Bend, IN 46614-1113 | 2019-06-10 |
| 1740468610 | Goshen Birth Center, Inc | Clinic/Center | 1155 Lighthouse Lane, Goshen, IN 46526-3824 | 2008-02-04 |
| 1710059431 | Expectations Womans Health and Child Bearing Center | Clinic/Center | 1506 W White River Blvd, Muncie, IN 47303-4949 | 2006-11-15 |
| 1285234351 | Sacred Journey Midwifery LLC | Clinic/Center | 2701 Pine Manor Ave, Goshen, IN 46526-5392 | 2020-10-28 |
| 1093360034 | Community Birth Group | Clinic/Center | 2379 W 700 N, Mccordsville, IN 46055-9735 | 2019-08-06 |
| 1609356633 | Private Healthcare Facilities | Clinic/Center | 844 Hickory Rd, Lawrenceburg, IN 47025-8457 | 2018-08-20 |
| 1962991687 | Tree of Life Family Birth Center | Clinic/Center | 1214 Spring St, Jeffersonville, IN 47130-3704 | 2018-05-08 |
| 1508375213 | National Birth Centers Inc | Clinic/Center | 7570 E 750 N, Howe, IN 46746-9224 | 2017-09-26 |
| 1689126351 | Edge Medical Services | Clinic/Center | 3954 S 300 E, Anderson, IN 46017-9766 | 2016-10-28 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on SACRED ROOTS MIDWIFERY BIRTH CENTER, INC.
| 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.