Provider Demographics
NPI:1316259005
Name:BEYOND BIRTH, LLC
Entity type:Organization
Organization Name:BEYOND BIRTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NURSE-MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:COSETTE
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, CNM
Authorized Official - Phone:515-266-6712
Mailing Address - Street 1:733 19TH ST # 1
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1039
Mailing Address - Country:US
Mailing Address - Phone:515-266-6712
Mailing Address - Fax:515-283-2502
Practice Address - Street 1:733 19TH ST # 1
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-1039
Practice Address - Country:US
Practice Address - Phone:515-266-6712
Practice Address - Fax:515-283-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB100222367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty