# STA BIRTH COLLECTIVE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225860661
- **Authorized official:** TIFFANY MARTIN LM, CPM (OWNER/MIDWIFE)
- **Authorized official phone:** (904) 900-0900

## Contact information

- **Practice address:** 906 ANASTASIA BLVD, ST AUGUSTINE, FL 32080-4664
- **Practice address phone:** (904) 900-0900
- **Mailing address:** 16 OCEAN WOODS DR W, ST AUGUSTINE, FL 32080-7920
- **Mailing address phone:** (904) 900-0900
- **Mailing address fax:** (904) 506-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 08/15/2024
- **Last updated:** 08/24/2026