Active NPI
Mary J Nowicki, CNM
- Midwife
- Rocky River, OH
National Provider Identifier
1194733915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- RN164655
- Practice address
- 20800 Center Ridge Rd
Rocky River, OH 44116-4312 - Phone
- (216) 333-1020
- Fax
- (440) 331-4245
- NPI assigned
- Aug 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | RN164655 | OH | Primary |
Addresses
Primary practice location
20800 Center Ridge Rd
Rocky River, OH 44116-4312
Mailing address
20800 Center Ridge Rd
Rocky River, OH 44116-4312
Phone (216) 333-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2444386 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN164655 | OH | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1194733915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20800 CENTER RIDGE RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441164312",
"telephone_number": "216-333-1020",
"fax_number": "216-331-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20800 CENTER RIDGE RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441164312",
"telephone_number": "216-333-1020",
"fax_number": "440-331-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWICKI",
"first_name": "MARY",
"middle_name": "J",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OH",
"license": "RN164655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2444386",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.