Active NPI
Whitney Fields Mirvis, RN, MSN,CNM, IBCIC
- Advanced Practice Midwife
- Columbus, OH
National Provider Identifier
1134538341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- COA 17732-NM
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 142265 | OH | MD | Lactation Consultant (Registered Nurse) |
| COA 17730-NP | OH | MD | Women's Health Nurse Practitioner |
| COA 17732-NM | OH | MD | Advanced 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.