MS. TAVORIA KELLAM MW
NPI 1376644096
Midwife in New York, NY

Active since September 26, 2006
1176 5TH AVE, 2253 THIRD AVENUE 3RD FL, NEW YORK, NY 10029(212) 289-6650(212) 360-5088 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Tavoria Kellam Mw NPPES

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

MS. TAVORIA KELLAM MW (NPI 1376644096) is an individual midwife in New York, New York, licensed in New York (F000971-1) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376644096
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMS. TAVORIA KELLAMCredential: MW
Location Address1176 5TH AVE, 2253 THIRD AVENUE 3RD FLNew York, NY 10029-6503
Mailing Address1309 5th Ave, #29aNew York, NY 10029-3123 · (212) 876-9448 · Fax (212) 689-3988
Fax(212) 360-5088
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 4, 2011
NPI 1376644096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in NY · F000971-1
Definition

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.

1176 5TH AVE, New York, NY 10029

Other Identifiers 1

Medicaid02692359NY

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Nurse Practitioner (Family)
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Physician Assistant
1176 5TH AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1176 5TH AVE
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE
NEW YORK, NY 10029
Obstetrics & Gynecology
1176 5TH AVE, BOX 1170
NEW YORK, NY 10029
Radiology (Diagnostic Radiology)
1176 5TH AVE, 1ST FLOOR, BOX 1160
NEW YORK, NY 10029

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 Tavoria Kellam's NPI number?

The NPI number for Tavoria Kellam is 1376644096. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Tavoria Kellam located?

Tavoria Kellam practices at 1176 5th Ave 2253 Third Avenue 3rd Fl, New York, NY 10029. The listed phone number is (212) 289-6650.

What is Tavoria Kellam's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

When was this NPI record last updated?

The NPPES record for Tavoria Kellam was last updated on March 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.