Lily Way Jordahl, RN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

002062 Issued in NY

Practice address

191 Berkeley PL Apt 10
Brooklyn, NY 11217-3811

Phone

(708) 560-5693

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: ljordahl3669392@nychhc.direct-ci.com

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1134896368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 BERKELEY PL APT 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173811",
            "telephone_number": "708-560-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BERKELEY PL APT 10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173811",
            "telephone_number": "708-560-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAHL",
        "first_name": "LILY",
        "middle_name": "WAY",
        "credential": "RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "758351",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "002062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienvenido R. Jongco, M.D.
• Alexander Jonokuchi, MD
• Farah Kanwal Jooma, MD
• Joon Acupuncture P.C
• Joon J Bang, MD, PC
• Jordan Davis Psychological Services PLLC
• Shani Jordan-Goldman, MS, RD, CDE
• Amy Jordan, LMSW
• Andre Jordan
• Anessa Nessa Jordan

• Advanced Practice Midwife in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.