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: July 19, 2026.

  • Individual
  • Female
  • Midwife

About TARA DETTRA

This page provides the complete NPI Profile along with additional information for Tara Dettra, a provider established in Saint Augustine, Florida with a medical specialization in Midwife. The healthcare provider is registered in the NPI registry with number 1790929438 assigned on April 2009. The practitioner's primary taxonomy code is 176B00000X with license number MW 227 (FL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1790929438 Verify this NPI
Provider Name
MRS. TARA LOVETT DETTRA L.M., C.P.M.
Gender
Female
Entity Type
Individual
Location Address
1093 A1A BEACH BLVD PMB 285 SAINT AUGUSTINE, FL 32080
Location Phone
(904) 540-7994
Location Fax
(904) 471-4980
Mailing Address
1093 A1A BEACH BLVD PMB 285 SAINT AUGUSTINE, FL 32080
Mailing Phone
(904) 540-7994
Mailing Fax
(904) 471-4980
Is Sole Proprietor?
Yes
Enumeration Date
04-24-2009
Last Update Date
04-24-2009
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
License No.
MW 227
License State
FL
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.

Reviews for MRS. TARA LOVETT DETTRA L.M., C.P.M.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1790929438, enumerated as an "individual" on April 24, 2009.

The provider is located at 1093 A1A BEACH BLVD PMB 285 SAINT AUGUSTINE, FL 32080 and the phone number is (904) 540-7994.

Midwife with taxonomy code 176B00000X.