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SACRED ROOTS MIDWIFERY, LLC
NPI 1215390778
Advanced Practice Midwife in Indianapolis, IN

Active since April 01, 2016CLIA 15D2119108 · Microscopy
6620 PARKDALE PL, SUITE K, INDIANAPOLIS, IN 46254(317) 437-3681(317) 552-2671 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2017, Apr 1, 2016 (2 updates tracked since 2016).

About Sacred Roots Midwifery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACRED ROOTS MIDWIFERY, LLC (NPI 1215390778) is a healthcare organization registered as an advanced practice midwife in Indianapolis, Indiana and active in the NPI registry since April 2016. The organization holds a CLIA Microscopy certificate valid through October 31, 2027 and lists Angela Lyttle, Co-owner/midwifery Director, as its authorized official.

NPPES Registry Identity

NPI1215390778
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NameSACRED ROOTS MIDWIFERY, LLC
Location Address6620 PARKDALE PL, SUITE KIndianapolis, IN 46254-5620
Mailing Address6620 Parkdale Pl, Suite KIndianapolis, IN 46254-5620 · (317) 437-3681 · Fax (317) 552-2671
Phone(317) 437-3681
Fax(317) 552-2671
Organization SubpartNo
Authorized OfficialAngela LyttleCo-owner/midwifery Director · (317) 437-3681
Enumeration DateApril 1, 2016
Last NPPES UpdateMay 11, 20172 updates tracked since enumeration
✔ NPI 1215390778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IN · 09000221A
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
6620 PARKDALE PL, Indianapolis, IN 46254
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D2119108

Sacred Roots Midwifery & Birth Center · Indianapolis, IN
Active · expires Oct 31, 2027
CLIA Number15D2119108
Laboratory TypeBirth Ctr
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorMegan E. Mcdonald
Laboratory Phone(317) 437-3681
Laboratory LocationSacred Roots Midwifery & Birth Center6620 Parkdale Place, Ste K, Indianapolis, IN 46254
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYLEY MARIE REYNOLDS DIXIE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6620 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 666-8800
SARAH AEAVENLY BRUNO FNP-C
Nurse Practitioner (Family)
6620 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 415-7373
ANGELA JOHNSON MD
Internal Medicine
6620 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 415-7373
DR. BRIAN W HAAG MD
Surgery
6620 PARKDALE PL, SUITE N
INDIANAPOLIS, IN 46254
Marion County (317) 244-7160
DR. MEENU GOEL MD
Obstetrics & Gynecology
6620 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 415-7373
TAMEKA S O'NEAL MD
Obstetrics & Gynecology
6620 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 415-7373
SACRED ROOTS MIDWIFERY BIRTH CENTER, INC
Clinic/Center (Birthing)
6620 PARKDALE PL, SUITE K
INDIANAPOLIS, IN 46254
Marion County (317) 437-3681
ANGELA D LYTTLE CNM
Advanced Practice Midwife
6620 PARKDALE PL, SUITE K
INDIANAPOLIS, IN 46254
Marion County (317) 437-3681

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sacred Roots Midwifery, LLC's NPI number?

The NPI number for Sacred Roots Midwifery, LLC is 1215390778. It was assigned to this organization in the NPPES registry on April 1, 2016.

Where is Sacred Roots Midwifery, LLC located?

Sacred Roots Midwifery, LLC is located at 6620 Parkdale Pl Suite K, Indianapolis, IN 46254. The listed phone number is (317) 437-3681.

What is Sacred Roots Midwifery, LLC's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Does Sacred Roots Midwifery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2119108) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sacred Roots Midwifery, LLC was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.