Individual provider Active NPI

Martha Marie Wolosuk Hardin, CNM

  • Midwife
  • Yale, VA
National Provider Identifier
1124619986
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
20316 Elk Hound LN
Yale, VA 23897-5428
Phone
(434) 637-1327
NPI assigned
Feb 3, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

20316 Elk Hound LN
Yale, VA 23897-5428

Mailing address

20316 Elk Hound LN
Yale, VA 23897-5428
Phone (434) 637-1327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210428000837 VA Practitioner - Certified Nurse Midwife (CNM) 3779991922 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Women's Health, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Obhg Virginia, LLC CurrentSince Mar 12, 2021 Accepting new patients

Locations

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1124619986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20316 ELK HOUND LN",
            "city": "YALE",
            "state": "VA",
            "postal_code": "238975428",
            "telephone_number": "434-637-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20316 ELK HOUND LN",
            "city": "YALE",
            "state": "VA",
            "postal_code": "238975428",
            "telephone_number": "434-637-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSUK HARDIN",
        "first_name": "MARTHA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.