Individual provider Active NPI

Whitney Fields Mirvis, RN, MSN,CNM, IBCIC

  • Advanced Practice Midwife
  • Columbus, OH
National Provider Identifier
1134538341
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA 17732-NM Issued in OH
Practice address
3535 Olentangy River Rd
1St Floor Yellow
Columbus, OH 43214-3908
Phone
(614) 566-5094
Fax
(614) 566-5094
NPI assigned
Aug 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN 142265 OH
Women's Health Nurse Practitioner 363LW0102X COA 17730-NP OH
Advanced Practice Midwife 367A00000X COA 17732-NM OH Primary

Addresses

Primary practice location

3535 Olentangy River Rd
1St Floor Yellow
Columbus, OH 43214-3908

Mailing address

3535 Olentangy River Rd
Women'S Center
Columbus, OH 43214-3908
Phone (614) 566-5094

Other names 1

  • Whitney Lenger Mirvis Professional name

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
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 142265OHMDLactation Consultant (Registered Nurse)
COA 17730-NPOHMDWomen's Health Nurse Practitioner
COA 17732-NMOHMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1134538341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "address_2": "WOMEN'S CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-5094",
            "fax_number": "614-566-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "address_2": "1ST FLOOR YELLOW",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-5094",
            "fax_number": "614-566-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRVIS",
        "first_name": "WHITNEY",
        "middle_name": "FIELDS",
        "credential": "RN, MSN,CNM, IBCIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OH",
            "license": "RN 142265",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA 17730-NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA 17732-NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "MIRVIS",
            "middle_name": "LENGER",
            "credential": "RN, MSN,CNM, IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.