CREEKSIDE BIRTH COTTAGE NPI 1679350698

NPI Information

  • NPI: 1679350698
  • Provider Name: CREEKSIDE BIRTH COTTAGE
  • Classification: Midwife - 176B00000X
  • Entity Type: Organization
  • CLIA Number: 03D2293660
  • Address: 215 W FRONTIER ST
    PAYSON, AZ
    ZIP 85541
  • Phone: (928) 951-6410

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NPI Details

CREEKSIDE BIRTH COTTAGE is a midwife in Payson, AZ. The provider is a Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. CREEKSIDE BIRTH COTTAGE NPI is 1679350698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

215 W FRONTIER ST
PAYSON, AZ
ZIP 85541-318
Phone: (928) 951-6410

The provider's authorized official is Lacey Tackett .
The authorized official title is Member and has the following contact phone number (928) 951-6410.

The CLIA number assigned to this NPI record is 03D2293660 - other - birth center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2023 and was last updated on 9/12/2023.

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
1176B00000XMidwifeYes

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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