Individual provider Active NPI

Corry I. Venema-Weiss, CNM

  • Advanced Practice Midwife
  • Seattle, WA
National Provider Identifier
1225194699
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30003818 Issued in WA
Practice address
4400 37TH Ave S
Seattle, WA 98118-1609
Phone
(206) 296-4650
Fax
(206) 296-0580
NPI assigned
Dec 29, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP30003818 WA Primary

Addresses

Primary practice location

4400 37TH Ave S
Seattle, WA 98118-1609

Mailing address

9025 Eastview Ave
Everett, WA 98208-3066
Phone (425) 385-2819

Other identifiers 1

IdentifierTypeStateIssuer
9617937MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000488 WA Practitioner - Certified Nurse Midwife (CNM) 8325144397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP30003818WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS CurrentSince Jun 30, 2014 Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

Interoperability endpoints

  • Direct secure messaging: cvenemaweiss449702@wm.providencedirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1225194699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 EASTVIEW AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083066",
            "telephone_number": "425-385-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 37TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181609",
            "telephone_number": "206-296-4650",
            "fax_number": "206-296-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEMA-WEISS",
        "first_name": "CORRY",
        "middle_name": "I.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30003818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9617937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.