Emily Kathryn Waller, DNP, CNM, WHNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

26368 Issued in SC

Practice address

1300 Hospital Dr Ste 270
Mount Pleasant, SC 29464-3244

Phone

(843) 818-1123

NPI assigned

Aug 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Charleston Midwife Services

  • Clinic/Center
  • Mount Pleasant, SC
  • NPI 1255526141
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1043947096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR STE 270",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643244",
            "telephone_number": "843-818-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "26368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@charlestonbirthplace.com",
            "affiliation": "Y",
            "endpointDescription": "Secure work email",
            "affiliationName": "Charleston Birth Place, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure work email",
            "address_1": "1300 Hospital Dr Ste 270",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294643244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co
• Stephanie Eileen Wall, RDH, MSDH, MED, OM
• Kelsey Marie Wallace, OTD
• Lacie Victoria Wallace, MD
• Romita L Wallen, MD
• Catherine Anne Walsh, PH.D.
• Courtney Josephine Walsh, PA
• Deanna Sink Walter, LPC-A
• Jessica F. Walters, MS, PT
• Erika Renate Walton, PT

• Advanced Practice Midwife in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Advanced Practice Midwife in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.