Syrah Elizabeth Nicaisse, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

CNM0235 Issued in VA

Practice address

88 MDG/SGHJ, 4881 Sugar Maple Dr.
88 MDG
Wright Patterson Air Force Base, OH 45433

Phone

(937) 257-8729

NPI assigned

Nov 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment NPD
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• Cincinnati Birth Center LLC

  • Birthing Clinic/Center
  • Cincinnati, OH
  • NPI 1932740990

  Midwife

  NPD (past)
• Holy Family Prenatal Care, LLC

  • Obstetrics Physician
  • Dayton, OH
  • NPI 1023140274
  NPD (past)
• Safer Birth Foundation

  • Advanced Practice Midwife
  • Cincinnati, OH
  • NPI 1174221667
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1245530641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ, 4881 SUGAR MAPLE DR.",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDG/SGHJ, 4881 SUGAR MAPLE DR.",
            "address_2": "88 MDG",
            "city": "WRIGHT PATTERSON AIR FORCE BASE",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICAISSE",
        "first_name": "SYRAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "CNM0235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "syrah.e.nicaisse.mil@mail.mil",
            "affiliation": "N",
            "address_1": "88 MDG/SGHJ, 4881 Sugar Maple Dr.",
            "address_2": "88 MDG",
            "city": "Wright Patterson Air Force Base",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "syrah.e.nicaisse.mil@mail.mil",
            "affiliation": "N",
            "address_1": "88 MDG/SGHJ, 4881 Sugar Maple Dr.",
            "address_2": "88 MDG",
            "city": "Wright Patterson Air Force Base",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Caitlin Leigh Castle
• Robyn Elizabeth Hadden, MD
• Richard Himes, PA
• Vincent C. Marsh, MD
• Christopher Riley, DO

• Midwife in Wright Patterson Air Force Base, OH
• Providers in Wright Patterson Air Force Base, OH by specialty
• Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.