MEDICARE: COMMONSENSE CHILDBIRTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	163W00000X	Registered Nurse	743652	FL
5	171M00000X	Case Manager/Care Coordinator
6	172V00000X	Community Health Worker
7	174H00000X	Health Educator
8	174N00000X	Lactation Consultant (Non-RN)
9	176B00000X	Midwife	MW53	FL
10	176B00000X	Midwife	TMW8	FL
11	374J00000X	Doula
12	261QB0400X	Birthing Clinic/Center	BC314	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326112418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMONSENSE CHILDBIRTH INC

Provider Business Mailing Address
First Line	:	213 S DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3522
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Provider Business Practice Location Address
First Line	:	213 S DILLARD ST
Second Line	:	SUITE 340
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3522
Country	:	US
Telephone Number	:	407-656-6938
Fax Number	:	407-656-9161

Authorized Official
Title or Position	:	DIRECTOR OF HEALTH SERVICES
Name	:	MRS. KATRINA J NELSON
Credential	:
Telephone Number	:	407-656-6938

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	03/12/2024

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