DESTINY BOUND, LLC
NPI 1427607019
Midwife in Fayetteville, AR
NPI Status: Active since September 06, 2019
Contact Information
3825 N SALEM ROAD
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 409-5479
- Organization
- Midwife
- CLIA Number: 04D2170305
- CLIA Cert. Type: Other - CERT PROF MIDWIFE, LLM
- CLIA Exp. Date: 08-06-2025
About DESTINY BOUND, LLC
This page provides the complete NPI Profile along with additional information for Destiny Bound, Llc, a provider established in Fayetteville, Arkansas operating as a Midwife. The healthcare provider is registered in the NPI registry with number 1427607019 assigned on September 2019. The practitioner's primary taxonomy code is 176B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Teresa Fedosky Cpm, Llm (Senior Midwife)
- NPI
- 1427607019
- Provider Name
- DESTINY BOUND, LLC
- Entity Type
- Organization
- Location Address
- 3825 N SALEM ROAD FAYETTEVILLE, AR 72704
- Location Phone
- (479) 409-5479
- Mailing Address
- 3825 N SALEM ROAD FAYETTEVILLE, AR 72704
- Mailing Phone
- (479) 409-5479
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2019
- Last Update Date
- 09-06-2019
- 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
- 04D2170305
- Facility Type
- Other - CERT PROF MIDWIFE, LLM
- Certificate Effective Date
- August 07, 2023
- Certificate Expiration Date
- August 06, 2025
- Laboratory Director
- TERESA R. FEDOSKY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Destiny Bound, Llc 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 6 | 0 | 7 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 12 | 0 | 14 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 1 + 2 + 0 + 1 + 4 + 0 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1427607019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427607019, enumerated in the NPI registry as an "organization" on September 06, 2019
The provider is located at 3825 N Salem Road Fayetteville, Ar 72704 and the phone number is (479) 409-5479
This medical organization specializes in Midwife with taxonomy code 176B00000X
The provider's CLIA number is 04D2170305 for a "other - cert prof midwife, llm" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 06, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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