SAMANTHA CRICKMORE (NPI# 1780074401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780074401 |
| Entity Type | Organization |
| Organization Name | SAMANTHA CRICKMORE |
| Practice Address |
721 Foxbriar Cv Jacksonville FL 32221-1508 |
| Practice Telephone | 3522784746 |
| Mailing Telephone | 3522784746 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | MRS. SAMANTHA BROOKE CRICKMORE (LICENSED MIDWIFE) |
| Authorized Official Telephone | 3522784746 |
| Authorized Official Credential | L.M., C.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
MW306 | FL | Ambulatory Health Care Facilities |
| Street Address |
721 FOXBRIAR CV |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32221-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092534 | Ronetta S Wright | Non-emergency Medical Transport (VAN) | 8450 Perryman Ln N, Jacksonville, FL 32221 | 2020-01-18 |
| 1770128910 | Anointed Hands Support Services LLC | In Home Supportive Care | 11448 Emma Oaks Ln, Jacksonville, FL 32221 | 2019-11-12 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1659892743 | Sebastian Isaza | Dentist | 11043 Crystal Springs Rd Ste 20, Jacksonville, FL 32221 | 2017-06-29 |
| 1518497031 | Valda M Brown | Nurse's Aide | 11201 Lothmore Rd, Jacksonville, FL 32221 | 2017-06-18 |
| 1942603899 | Pain Medicine Physicians of Jacksonville, LLC | Anesthesiology | 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 | 2014-10-07 |
| 1376950501 | Daniel C Marin | Physician Assistant | 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 | 2014-07-21 |
| 1508001850 | Lilliam Rivera | Registered Nurse | 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 | 2008-12-15 |
| 1992979777 | La Quenda Mosby Pharr | Community Health Worker | 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 | 2008-04-14 |
| 1922167196 | Donald Robert Engels Jr. | Chiropractor | 7661 Knoll Dr N, Jacksonville, FL 32221 | 2006-12-06 |
| Find all providers in zip 32221 | ||||
| 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 |
|---|---|---|---|---|
| 1528628831 | Full Circle Birth Center | Clinic/Center | 6885 Belfort Oaks Pl Ste 215, Jacksonville, FL 32216-6234 | 2019-06-18 |
| 1104182252 | Birth & Wellness Center of Gainesville, LLC | Clinic/Center | 815 Stockton St, Jacksonville, FL 32204-3521 | 2012-04-03 |
| 1174850689 | Fruitful Vine Midwifery Service, Inc. | Clinic/Center | 1539 Parental Home Road, #5, Jacksonville, FL 32216 | 2009-11-05 |
| 1669088613 | Alarice Enterprises, LLC | Clinic/Center | 6885 Belfort Oaks Pl Ste 215, Jacksonville, FL 32216-6234 | 2020-09-16 |
| 1720609589 | La Vita Bella Birth Center, Pllc | Clinic/Center | 310 New Bridge St, Jacksonville, NC 28540-4756 | 2020-05-04 |
| 1669710455 | Birth Center of Jacksonville | Clinic/Center | 804 Margaret St, Jacksonville, FL 32204-3224 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1386108801 | Gift of Life Pregnancy Services, LLC | Clinic/Center | 3518 Broadway, West Palm Beach, FL 33407-4842 | 2019-01-29 |
| 1659802932 | Gainesville Midwives | Clinic/Center | 10213 Nw 6th Pl, Gainesville, FL 32607-1337 | 2017-03-27 |
| 1467992248 | Baby and Co LLC | Clinic/Center | 7556 W Sand Lake Rd, Orlando, FL 32819-5110 | 2017-02-28 |
| 1922460666 | In Due Season LLC | Clinic/Center | 5036 7th St, Zephyrhills, FL 33542-2132 | 2016-03-22 |
| 1770940553 | National Birth Centers Inc | Clinic/Center | 9745 Sw 161st St, Miami, FL 33157-3315 | 2016-01-25 |
| 1407211485 | National Birth Centers Inc | Clinic/Center | 11236 Sw 56th Cir, Cooper City, FL 33330-4591 | 2015-12-17 |
| 1346626660 | Natural Birthworks | Clinic/Center | 7630 Wiles Rd., Coral Springs, FL 33067-2037 | 2015-08-10 |
| 1730583642 | Holistic South Pregnancy & Birth Center | Clinic/Center | 9275 Sw 152nd St Ste 100, Palmetto Bay, FL 33157-1773 | 2014-10-21 |
| 1285040097 | Lake City Birth, LLC | Clinic/Center | 5113 256th St, O Brien, FL 32071-4435 | 2014-07-01 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32221 |
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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.