Individual provider Active NPI

Elizabeth A Quinkert, CNM

  • Advanced Practice Midwife
  • Jeffersonville, IN
National Provider Identifier
1306940820
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
28106154A Issued in IN
Practice address
301 Gordon Gutmann Blvd Ste 201
Jeffersonville, IN 47130-3766
Phone
(812) 282-6114
Fax
(812) 280-2142
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28106154A IN
Advanced Practice Midwife 367A00000X 28106154A IN Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd Ste 201
Jeffersonville, IN 47130-3766

Mailing address

301 W 13TH St
201
Jeffersonville, IN 47130-3764
Phone (812) 282-6114

Other identifiers 1

IdentifierTypeStateIssuer
200201490AMedicaidIN

Other names 1

  • Elizabeth Ann Bary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140414000061 IN Practitioner - Certified Nurse Midwife (CNM) 1355573908 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28106154AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Family Birth Center Current Accepting new patients
Woman Care, LLC Advanced Practice Midwife CurrentSince Mar 4, 2014 Accepting new patients

Locations

1214 Spring St
Ste 3
Jeffersonville, IN 47130

1407 Spring St
Ste 2
Jeffersonville, IN 47130
Phone (812) 282-6114

301 Gordon Gutmann Blvd
Ste 201
Jeffersonvlle, IN 47130
Phone (812) 282-6114

Interoperability endpoints

  • Direct secure messaging: bethquinkert@wc.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1306940820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 13TH ST",
            "address_2": "201",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303764",
            "telephone_number": "812-282-6114",
            "fax_number": "812-282-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD STE 201",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303766",
            "telephone_number": "812-282-6114",
            "fax_number": "812-280-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINKERT",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28106154A",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "28106154A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BARY",
            "middle_name": "ANN",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.