Individual provider Active NPI

Noel Juett, APRN, CNM

  • Advanced Practice Midwife
  • Columbia, SC
National Provider Identifier
1235379702
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25766 Issued in SC
Practice address
2 Medical Park Rd Ste 107
Columbia, SC 29203-6839
Phone
(803) 434-4480
Fax
(803) 434-3340
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3005954 KY
Advanced Practice Midwife 367A00000X 3005954 KY
Advanced Practice Midwife 367A00000X 25766 SC Primary

Addresses

Primary practice location

2 Medical Park Rd Ste 107
Columbia, SC 29203-6839

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

9 Richland Medical Park Dr Ste 620
Columbia, SC 29203-6845
Phone (803) 779-6776

Other practice location 2

3213 Summit Square Pl
# 200
Lexington, KY 40509-2651
Phone (859) 381-1066

Other identifiers 2

IdentifierTypeStateIssuer
7100092780MedicaidKY
7100053490MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210305002371 GA Practitioner - Certified Nurse Midwife (CNM) 7517015803 Reassigns benefits to 1 organization
I20220310002722 SC Practitioner - Certified Nurse Midwife (CNM) 7517015803 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Piedmont PC CurrentSince Dec 20, 2020 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 1, 2022 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients

Locations

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

2 Medical Park Rd
Ste 107
Columbia, SC 29203
Phone (803) 434-4480

9 Richland Medical Park Dr
Ste 620
Columbia, SC 29203
Phone (803) 779-6776

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: njuett558634@direct.ghs.myhfn.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1235379702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK RD STE 107",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036839",
            "telephone_number": "803-434-4480",
            "fax_number": "803-434-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 620",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036845",
            "country_code": "US",
            "telephone_number": "803-779-6776",
            "fax_number": "803-779-7346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3213 Summit Square Pl",
            "address_2": "# 200",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092651",
            "country_code": "US",
            "telephone_number": "859-381-1066",
            "fax_number": "859-263-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUETT",
        "first_name": "NOEL",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005954",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3005954",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "25766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100092780",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.