Active NPI
New Life Nurse-Midwifery Care
- Advanced Practice Midwife
- Marysville, OH
National Provider Identifier
1407829898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0976654 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.