Individual provider Active NPI

Eva Wax, CNM

  • Advanced Practice Midwife
  • Beverly, MA
National Provider Identifier
1356546824
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
229716 Issued in MA
Practice address
Beverly Hospital
85 Herrick Street
Beverly, MA 01915
Phone
(978) 927-7880
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 229716 MA Primary

Addresses

Primary practice location

Beverly Hospital
85 Herrick Street
Beverly, MA 01915

Mailing address

Beverly Hospital
85 Herrick Street
Beverly, MA 01915
Phone (978) 927-7880

Other practice location 1

2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2375

Other practice location 2

2907 Chanticleer Ave
Santa Cruz, CA 95065-1815
Phone (831) 477-2375

Other practice location 3

North Shore Birth Center
85 Herrick Street
Beverly, MA 01915
Phone (978) 927-7880

Other identifiers 1

IdentifierTypeStateIssuer
NPP-OOOOtherMACNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235728CAMDAdult Health Nurse Practitioner
229716MAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356546824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BEVERLY HOSPITAL",
            "address_2": "85 HERRICK STREET",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEVERLY HOSPITAL",
            "address_2": "85 HERRICK STREET",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 Chanticleer Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651815",
            "country_code": "US",
            "telephone_number": "831-477-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2907 Chanticleer Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651815",
            "country_code": "US",
            "telephone_number": "831-477-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "North Shore Birth Center",
            "address_2": "85 Herrick Street",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "01915",
            "country_code": "US",
            "telephone_number": "978-927-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAX",
        "first_name": "EVA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "229716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM",
            "identifier": "NPP-OOO",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.