OrganizationActive
Wild Roots Birth Collective LLC
NPI 1689503500 · Doula · Festus, MO
Provider details
- NPI number
- 1689503500
- Entity type
- Organization
- Primary specialty
- DoulaNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Jacquelyne Livengood, Ceo(573) 944-1832
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1164a E Gannon Dr
Festus, MO 63028-2604
Phone: (573) 944-1832
Street-level locationGet directions
Mailing address
14268 Spring Dr
De Soto, MO 63020-5146
Registry dates
- Enumerated
- 2026-05-16
- Last updated
- 2026-05-16
- Certified
- 2026-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.