Creekside Birth Cottage
NPI 1679350698ActiveOrganization· Midwife· Payson, AZ
Midwife in Payson, Arizona, registered in NPPES in September 2023, part of Creekside Midwifery LLC. The authorized official on file is Lacey Tackett, Member.
Overview
| NPI | 1679350698 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Creekside Midwifery LLC |
| NPI issued | Sep 12, 2023 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Midwife Primary | 176B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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