SAGE WELLNESS BIRTH COLLABORATIVE NPI 1215820196

NPI Information

  • NPI: 1215820196
  • Provider Name: SAGE WELLNESS BIRTH COLLABORATIVE
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Organization
  • CLIA Number: 10D2325786
  • Address: 831 MCCASKILL ST
    CRESTVIEW, FL
    ZIP 32536
  • Phone: (850) 446-6505

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NPI Details

SAGE WELLNESS BIRTH COLLABORATIVE is an obstetrics and gynecology nurse practitioner in Crestview, FL. SAGE WELLNESS BIRTH COLLABORATIVE NPI is 1215820196. The provider is registered as an organization entity type.

The provider's business location address is:

831 MCCASKILL ST
CRESTVIEW, FL
ZIP 32536-757
Phone: (850) 446-6505
Fax: (850) 806-1868

The provider's authorized official is Kiz Tosi .
The authorized official title is Owner, Midwife and has the following contact phone number (850) 446-6505.

The CLIA number assigned to this NPI record is 10D2325786 - other - birth center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2025 and was last updated on 5/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QB0400XClinic/CenterBirthingNo
2363LW0102XNurse PractitionerWomen's HealthNo
3363LX0001XNurse PractitionerObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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