Active NPI
Victoria Wirth
- Advanced Practice Midwife
- Warrensburg, NY
National Provider Identifier
1114934510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000572
- Practice address
- 3767 Main St
Warrensburg, NY 12885-1837 - Phone
- (518) 623-2844
- Fax
- (518) 623-3416
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000572 | NY | Primary |
Addresses
Primary practice location
3767 Main St
Warrensburg, NY 12885-1837
Mailing address
1 Broad Street PLZ
PO Box 357
Glens Falls, NY 12801-4390
Phone (518) 761-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00630039 | Medicaid | NY |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1114934510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROAD STREET PLZ",
"address_2": "PO BOX 357",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128014390",
"telephone_number": "518-761-0300",
"fax_number": "518-745-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 MAIN ST",
"city": "WARRENSBURG",
"state": "NY",
"postal_code": "128851837",
"telephone_number": "518-623-2844",
"fax_number": "518-623-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTH",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "000572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00630039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.