MRS. TARA LOVETT DETTRA L.M., C.P.M.
NPI 1790929438
Midwife in Saint Augustine, FL

Active since April 24, 2009
1093 A1A BEACH BLVD, PMB 285, SAINT AUGUSTINE, FL 32080(904) 540-7994(904) 471-4980 Get Directions Write a Review

NPPES record last updated: April 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Tara Lovett Dettra L.m., C.p.m. NPPES

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

MRS. TARA LOVETT DETTRA L.M., C.P.M. (NPI 1790929438) is an individual midwife in Saint Augustine, Florida, licensed in Florida (MW 227) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1790929438
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMRS. TARA LOVETT DETTRACredential: L.M., C.P.M.
Location Address1093 A1A BEACH BLVD, PMB 285Saint Augustine, FL 32080-6733
Mailing Address1093 A1a Beach Blvd, Pmb 285Saint Augustine, FL 32080-6733 · (904) 540-7994 · Fax (904) 471-4980
Fax(904) 471-4980
Sole ProprietorYes
Enumeration DateApril 24, 2009
NPI 1790929438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in FL · MW 227
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.
1093 A1A BEACH BLVD, Saint Augustine, FL 32080

Other Providers at the Same Location NPPES 2

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

Podiatrist
1093 A1A BEACH BLVD, PMB 235
ST AUGUSTINE, FL 32080
Nurse Practitioner (Family)
1093 A1A BEACH BLVD, #109 ANASTASIA PLAZA
ST AUGUSTINE BEACH, FL 32080

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 Tara Dettra's NPI number?

The NPI number for Tara Dettra is 1790929438. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Tara Dettra located?

Tara Dettra practices at 1093 A1a Beach Blvd Pmb 285, Saint Augustine, FL 32080. The listed phone number is (904) 540-7994.

What is Tara Dettra'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 Tara Dettra was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.