Healthcare Provider Details

I. General information

NPI: 1013820208
Provider Name (Legal Business Name): SWEET PEA MIDWIFERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N GOLIAD ST
ROCKWALL TX
75087-2230
US

IV. Provider business mailing address

925 N GOLIAD ST
ROCKWALL TX
75087-2230
US

V. Phone/Fax

Practice location:
  • Phone: 214-460-6575
  • Fax: 469-925-2828
Mailing address:
  • Phone: 214-460-6575
  • Fax: 469-925-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLIVIA DIANNE DELAVEGA
Title or Position: OWNER
Credential: CNM
Phone: 214-460-6575