CREEKSIDE BIRTH COTTAGE
NPI 1679350698
Midwife in Payson, AZ
NPI Status: Active since September 12, 2023
Contact Information
215 W FRONTIER ST
PAYSON, AZ
ZIP 85541
Phone: (928) 951-6410
- Organization
- Midwife
- CLIA Number: 03D2293660
- CLIA Cert. Type: Other - BIRTH CENTER
- CLIA Exp. Date: 11-12-2025
About CREEKSIDE BIRTH COTTAGE
This page provides the complete NPI Profile along with additional information for Creekside Birth Cottage, a provider established in Payson, Arizona operating as a Midwife. The healthcare provider is registered in the NPI registry with number 1679350698 assigned on September 2023. The practitioner's primary taxonomy code is 176B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lacey Tackett (Member)
- NPI
- 1679350698
- Provider Name
- CREEKSIDE BIRTH COTTAGE
- Entity Type
- Organization
- Location Address
- 215 W FRONTIER ST PAYSON, AZ 85541
- Location Phone
- (928) 951-6410
- Mailing Address
- 215 W FRONTIER ST PAYSON, AZ 85541
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-12-2023
- Last Update Date
- 09-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Midwife
- Taxonomy Code
- 176B00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2293660
- Facility Type
- Other - BIRTH CENTER
- Certificate Effective Date
- November 13, 2023
- Certificate Expiration Date
- November 12, 2025
- Laboratory Director
- LACEY TACKETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Creekside Birth Cottage to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679350698, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679350698, enumerated as an "organization" on September 12, 2023.
The provider is located at 215 W FRONTIER ST PAYSON, AZ 85541 and the phone number is (928) 951-6410.
Midwife with taxonomy code 176B00000X.
