Healthcare Provider Details

I. General information

NPI: 1851102743
Provider Name (Legal Business Name): HUMMINGBIRD MIDWIVES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 01/18/2025
Certification Date: 01/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 S MILL AVE
TEMPE AZ
85281-8685
US

IV. Provider business mailing address

918 S MILL AVE
TEMPE AZ
85281-8685
US

V. Phone/Fax

Practice location:
  • Phone: 480-647-2099
  • Fax:
Mailing address:
  • Phone: 480-647-2099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. KATHERINE PAXTON
Title or Position: OWNER / CLINICAL DIRECTOR
Credential: CNM
Phone: 480-647-2099