Lindsey D Wilson, CNM
Individual provider Active NPI Advanced Practice Midwife · Newport News, VA
NPI 1194031765 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1194031765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 53-78122 (KS)
- Practice address
- 860 Omni Blvd
Ste 110
Newport News, VA 23606-4434 - Phone
- (757) 223-9794
- Fax
- (757) 223-9168
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78122 | KS | MD | Advanced Practice Midwife |
| 2011036527 | MO | MD | Advanced Practice Midwife |
| 714085 | TX | MD | Advanced Practice Midwife |
| 0024173216 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Woman Obstetrics and Gynecology, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 2011036527 | MO | |
| Advanced Practice Midwife | 367A00000X | 714085 | TX | |
| Advanced Practice Midwife | 367A00000X | 53-78122 | KS | Yes |
| Advanced Practice Midwife | 367A00000X | 0024173216 | VA |
Addresses
Primary practice location
860 Omni Blvd
Ste 110
Newport News, VA 23606-4434
Mailing address
9209 W 110TH St
Ste 36
Overland Park, KS 66210-1401
Phone (913) 735-4888
Other providers in Newport News, VA
- Felicia Wilson
- Haylee Elizabeth Wilson
- Herbert Alexander Wilson III
- Jason Paul Wilson
- Joseph F Wilson
- Rhea C Wilson
- Yolanda G Wilson
- Marguerita Wimberly
- Nana Owusu Winbush
- Kip Winden
All providers in Newport News, VA · Advanced Practice Midwife in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. 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.