MEDICARE: THE BIRTH COLLABORATIVE LAS VEGAS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	174N00000X	Lactation Consultant (Non-RN)
3	175M00000X	Lay Midwife
4	374J00000X	Doula

General Provider Information

NPI Number	:	1922987825
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BIRTH COLLABORATIVE LAS VEGAS, LLC

Provider Business Mailing Address
First Line	:	1590 SOMBRERO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2523
Country	:	US
Telephone Number	:	702-524-9705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1590 SOMBRERO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-2523
Country	:	US
Telephone Number	:	702-524-9705
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. JOLLINA SIMPSON
Credential	:
Telephone Number	:	702-524-9705

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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