Organization Active NPI

New Life Nurse-Midwifery Care

  • Advanced Practice Midwife
  • Marysville, OH
National Provider Identifier
1407829898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
NEW LIFE NURSE-MIDWIFERY CARE
Practice address
112 Morey Dr
Marysville, OH 43040-1646
Phone
(937) 642-1900
Fax
(937) 578-2549
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marietta Janette Renne
Title
President
Phone
(937) 642-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

112 Morey Dr
Marysville, OH 43040-1646

Mailing address

112 Morey Dr
Marysville, OH 43040-1646
Phone (937) 642-1900

Other identifiers 1

IdentifierTypeStateIssuer
0976654MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407829898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "937-642-1900",
            "fax_number": "937-578-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "937-642-1900",
            "fax_number": "937-578-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE NURSE-MIDWIFERY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNE",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_middle_name": "JANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-642-1900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.