Individual provider Active NPI

Jessica Vail

  • Midwife
  • Derby, KS
National Provider Identifier
1083999502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
319 S Willow Dr
Derby, KS 67037-2442
Phone
(316) 209-9209
NPI assigned
Oct 16, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X KS
Doula 374J00000X KS
Midwife 176B00000X Primary

Addresses

Primary practice location

319 S Willow Dr
Derby, KS 67037-2442

Mailing address

319 S Willow Dr
Derby, KS 67037-2442
Phone (316) 209-9209

Other practice location 1

1139 N Lakeview Dr
Derby, KS 67037-2737
Phone (316) 209-9209

Other practice location 2

105 S Andover Rd Ste A
Andover, KS 67002-7924
Phone (316) 209-9209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083999502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S WILLOW DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372442",
            "telephone_number": "316-209-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S WILLOW DR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372442",
            "telephone_number": "316-209-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 N Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670372737",
            "country_code": "US",
            "telephone_number": "316-209-9209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Andover Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670027924",
            "country_code": "US",
            "telephone_number": "316-209-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIL",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.