Dc Mobile Midwife LLC
Clinic/Center, Health Services in Washington, DC. Organization (NPI-2).
NPI number1962024877
StatusActive
Last updated in NPPESMay 13, 2020
Details
- NPI
- 1962024877
- Entity type
- Organization (NPI-2)
- Legal business name
- Dc Mobile Midwife LLC
- Organization subpart
- No
- Enumeration date
- May 13, 2020
- Certification date
- May 13, 2020
- Last updated
- May 13, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 176B00000X | Midwife | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Other names
- Modern Mobile Midwife LLC (Former Legal Business Name)
Practice location
5227 Chillum Pl NeWashington, DC 20011-6417
Phone 202-630-7177
Mailing address
5518 8th St SArlington, VA 22204-2616
Phone 202-630-7177
Authorized official
Robin Tucker
Owner, Certified Nurse Midwife
2026307177
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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