Healthcare Provider Details

I. General information

NPI: 1447981741
Provider Name (Legal Business Name): URBAN BABY BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2022
Last Update Date: 06/19/2022
Certification Date: 06/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 N MILITARY HWY STE 1000
NORFOLK VA
23502-3794
US

IV. Provider business mailing address

880 N MILITARY HWY STE 1000
NORFOLK VA
23502-3794
US

V. Phone/Fax

Practice location:
  • Phone: 833-782-2229
  • Fax: 833-782-2229
Mailing address:
  • Phone: 833-782-2229
  • Fax: 833-782-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE SPENCER
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 321-333-2535