BLOSSOM BIRTH CENTER (NPI# 1679846141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679846141 |
Entity Type | Organization |
Organization Name | BLOSSOM BIRTH CENTER |
Practice Address |
2928 N 18th Pl Phoenix AZ 85016-7705 |
Practice Telephone | 6233220730 |
Practice Fax Number | 6233744592 |
Mailing Telephone | 6233220730 |
Mailing Fax Number | 6233744592 |
Enumeration Date | 2012-02-14 |
Last Update Date | 2012-02-14 |
Authorized Official Name | MRS. NICHELLE WHITEHEAD (LEAD PHYSICIAN) |
Authorized Official Telephone | 6022567766 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
OTC4901 | AZ | Ambulatory Health Care Facilities |
Street Address |
2928 N 18TH PL |
City | PHOENIX |
State | AZ |
Zip Code | 85016-7705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538272596 | Peter J. Casper | Dermatology | 2928 N 18th Pl, Peter J. Casper, M.d., Phoenix, AZ 85016-7705 | 2006-08-16 |
1013492354 | Anna M Gomez | Advanced Practice Midwife | 2928 N 18th Pl, Phoenix, AZ 85016-7705 | 2018-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
Find all providers in zip 85016 |
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 |
---|---|---|---|---|
1831470590 | Arcadia Birth & Women's Care, LLC | Clinic/Center | 220 E Lexington Ave, Phoenix, AZ 85012-2365 | 2011-09-07 |
1407492069 | Canyon Midwifery LLC | Clinic/Center | 6610 W Cordia Ln, Phoenix, AZ 85083-7404 | 2019-11-19 |
1184114167 | Blue Ye Maya LLC | Clinic/Center | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2018-05-15 |
1033561006 | The Phoenix Birth Center | Clinic/Center | 531 E Lynwood St, Phoenix, AZ 85004-1626 | 2016-07-01 |
1164735304 | Babymoon Inn, LLC | Clinic/Center | 215 E Lexington Ave, Phoenix, AZ 85012-2321 | 2010-07-16 |
1811091929 | Bethany Womens Healthcare, P.C. | Clinic/Center | 3660 W Bethany Home Rd, Suite B, Phoenix, AZ 85019-1953 | 2006-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073144465 | Babymoon Inn of Tucson, LLC | Clinic/Center | 3337 N Country Club Rd, Tucson, AZ 85716-1349 | 2020-02-04 |
1659763431 | The Birth Nest At Catlin Court | Clinic/Center | 5622 W Palmaire Ave, Glendale, AZ 85301-2510 | 2015-03-03 |
1205252848 | The Birth Haven At Lifespring Midwifery | Clinic/Center | 3303 S Lindsay Rd Ste 125, Gilbert, AZ 85297-2100 | 2014-03-06 |
1891304580 | Flagstaff Birth and Health Center | Clinic/Center | 401 W Aspen Ave, Flagstaff, AZ 86001-5305 | 2020-07-28 |
1568071603 | Conscious Choices Birth Center LLC | Clinic/Center | 461 W Center St, Snowflake, AZ 85937-5205 | 2020-07-24 |
1750935144 | Private Healthcare Facilities | Clinic/Center | 875 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5044 | 2019-07-24 |
1194384867 | Beginnings Birth and Wellness Center | Clinic/Center | 7598 E Palo Verde St, Prescott Valley, AZ 86314-3255 | 2019-06-06 |
1730606922 | National Birth Centers Inc | Clinic/Center | 875 N Greenfield Rd Ste 101, Gilbert, AZ 85234-5044 | 2017-08-28 |
1831648237 | Womancare Birth & Breastfeeding Center LLC | Clinic/Center | 20 E Cherry Ave, Flagstaff, AZ 86001-4607 | 2016-09-26 |
1740642297 | Willow Midwife Center for Birth and Wellness | Clinic/Center | 2045 S Vineyard, Suite 2e, Mesa, AZ 85210-6889 | 2016-03-23 |
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.