Individual provider Active NPI

Kathleen Elizabeth Waibel, CNM

  • Advanced Practice Midwife
  • Columbus, OH
National Provider Identifier
1033447016
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.11189 Issued in OH
Practice address
921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone
(614) 268-8800
Fax
(614) 447-8876
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.11189 OH Primary
Midwife 176B00000X 11189 OH

Addresses

Primary practice location

921 Jasonway Ave Ste B
Columbus, OH 43214-2456

Mailing address

921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
3062804MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwaibel33363@direct.ohiohealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000247 OH Practitioner - Certified Nurse Midwife (CNM) 8224168539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professionals for Womens Health IncGroup PAC ID 0749259919, 15 clinicians

Practice addresses (Care Compare)

921 Jasonway Ave
Suite B
Columbus, OH 43214-2456
Phone (614) 268-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11189OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professionals for Womens Health Inc CurrentSince May 9, 2010 Accepting new patients

Locations

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

6870 Perimeter Dr
#A
Dublin, OH 43016
Phone (614) 268-8800

Interoperability endpoints

  • Direct secure messaging: katie.waibel.1@87.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1033447016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIBEL",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.11189",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "11189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3062804",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwaibel33363@direct.ohiohealth.com",
            "affiliation": "N",
            "address_1": "921B Jasonway Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.