NPIMap

Organization Active NPI

Lebanon Valley Midwifery and Women's Wellness

  • Advanced Practice Midwife
  • Womelsdorf, PA
National Provider Identifier
1275849689
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010099 Issued in PA
Legal business name
LEBANON VALLEY MIDWIFERY AND WOMEN'S WELLNESS
Practice address
770 Host Rd
Womelsdorf, PA 19567-9100
Phone
(717) 933-9743
Fax
(717) 933-8289
NPI assigned
Aug 23, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Susan N Farrell, MSN, CNM, CRNP-WHNPI 1528026259
Title
Director
Phone
(717) 933-9743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X SP010234 PA
Advanced Practice Midwife 367A00000X MW010099 PA Primary

Addresses

Primary practice location

770 Host Rd
Womelsdorf, PA 19567-9100

Mailing address

770 Host Rd
Womelsdorf, PA 19567-9100
Phone (717) 933-9743

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1275849689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 HOST RD",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679100",
            "telephone_number": "717-933-9743",
            "fax_number": "717-933-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 HOST RD",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679100",
            "telephone_number": "717-933-9743",
            "fax_number": "717-933-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON VALLEY MIDWIFERY AND WOMEN'S WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-933-9743",
        "authorized_official_credential": "MSN, CNM, CRNP-WH"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP010234",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Womelsdorf, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.