Individual provider Active NPI

Jacqueline A Warmke

  • Advanced Practice Midwife
  • Charleston, WV
National Provider Identifier
1396466298
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0019535 Issued in OH
Practice address
830 Pennsylvania Ave Ste 402
Charleston, WV 25302-3390
Phone
(304) 757-6999
NPI assigned
Sep 8, 2022
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 0019535 OH Primary

Addresses

Primary practice location

830 Pennsylvania Ave Ste 402
Charleston, WV 25302-3390

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other practice location 1

108 Washington St W Ste 201
Charleston, WV 25302-2344
Phone (304) 757-6999

Other practice location 2

472 Chalan San Antonio
Tamuning, GU 96913-3605
Phone (671) 647-1830

Other names 1

  • Jacqueline A Hawk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240724003576 WV Practitioner - Certified Nurse Midwife (CNM) 6901342047 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0019535OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Hunter & Associates, PLLC Current Accepting new patients
Women Care Inc Advanced Practice Midwife CurrentSince May 1, 2024 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince May 1, 2024 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc CurrentSince May 1, 2024 Accepting new patients
Womencare Inc CurrentSince May 1, 2024 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince May 1, 2024 Accepting new patients
Womencare, Inc Past Accepting new patients
Womencare, Inc Past Accepting new patients
Womencare Inc Past Accepting new patients

Locations

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

830 Pennsylvania Ave
Ste 402
Charleston, WV 25302
Phone (304) 343-4177

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

515 Main St
Madison, WV 25130
Phone (304) 369-0393

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Scott Depot, WV 25560

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9225/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacqueline.warmke.1@7363.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1396466298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE STE 402",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023390",
            "telephone_number": "304-757-6999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Washington St W Ste 201",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253022344",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Chalan San Antonio",
            "address_purpose": "LOCATION",
            "city": "Tamuning",
            "state": "GU",
            "postal_code": "969133605",
            "country_code": "US",
            "telephone_number": "671-647-1830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARMKE",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "0019535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HAWK",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.