Provider Demographics
NPI:1912146440
Name:NEW BEGINNINGS MIDWIFERY INC
Entity Type:Organization
Organization Name:NEW BEGINNINGS MIDWIFERY INC
Other - Org Name:A WOMAN'S PLACE FOR WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, CNM
Authorized Official - Phone:321-799-0687
Mailing Address - Street 1:439 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-2937
Mailing Address - Country:US
Mailing Address - Phone:321-779-0687
Mailing Address - Fax:
Practice Address - Street 1:476 HIGHWAY A1A
Practice Address - Street 2:STE 2A
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-2331
Practice Address - Country:US
Practice Address - Phone:321-779-0687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-06
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1949352207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty