Olivia Brewer, APRN-CNM
Individual provider Active NPI Advanced Practice Midwife · Lakewood, OH
NPI 1154940260 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1154940260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- APRN.CNM.0019474 (OH)
- Practice address
- 2022 Lewis Dr
Lakewood, OH 44107-6124 - Phone
- (330) 242-0844
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210412001370 | OH | Practitioner - Certified Nurse Midwife (CNM) | 6002224094 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-005035 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Nicholas E Sherock Jr DO LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
Locations
11100 Euclid Ave
Cleveland Heights, OH 44106
100 Lillian Gish Blvd SW
Ste 201
Massillon, OH 44647
Phone (330) 809-0460
100 Lillian Gish Blvd SW
Massillon, OH 44647
Phone (216) 832-3127
830 S Main St
Ste 102
Orrville, OH 44667
Phone (330) 684-4707
Interoperability endpoints
- olivia.brewer@ohe016.digichart.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 34-005035 | OH | |
| Advanced Practice Midwife | 367A00000X | APRN.CNM.0019474 | OH | Yes |
Addresses
Primary practice location
2022 Lewis Dr
Lakewood, OH 44107-6124
Mailing address
100 Lillian Gish Blvd SW
Massillon, OH 44647-6587
Phone (330) 809-0460
Other providers in Lakewood, OH
- Lauren Boudon
- Margaret Bour
- Janice Elaine Bowman
- Megan Brady
- Elaine Marie Breiner
- Brian K. Smith, D.D.S., M.D., Inc.
- Bridget McMurray, OD LLC
- Emily Brodke
- Charles Bromfield
- Lexi Brown
All providers in Lakewood, OH · Advanced Practice Midwife in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.