Active NPI
Ailsa Celeste Emmel, CNM
- Advanced Practice Midwife
- Jacksonville, NC
National Provider Identifier
1366639346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 12336
- Practice address
- 245 Memorial Dr
Jacksonville, NC 28546-6333 - Phone
- (910) 353-4333
- Fax
- (910) 353-6529
- NPI assigned
- Oct 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 12336 | NC | Primary |
Addresses
Primary practice location
245 Memorial Dr
Jacksonville, NC 28546-6333
Mailing address
245 Memorial Dr
Jacksonville, NC 28546-6333
Phone (910) 353-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12336 | Other | NC | ACNM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12336 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1366639346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466333",
"telephone_number": "910-353-4333",
"fax_number": "910-353-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMEL",
"first_name": "AILSA",
"middle_name": "CELESTE",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "12336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACNM",
"identifier": "12336",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.