Individual provider Active NPI

Louise A Yunck, CNM

  • Midwife
  • Rocky River, OH
National Provider Identifier
1417965153
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN248501 Issued in OH
Practice address
20800 Center Ridge Rd
Suite 101
Rocky River, OH 44116-4312
Phone
(440) 333-1020
Fax
(440) 331-4245
NPI assigned
Aug 4, 2006
Last updated
Mar 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN248501 OH Primary

Addresses

Primary practice location

20800 Center Ridge Rd
Suite 101
Rocky River, OH 44116-4312

Mailing address

20800 Center Ridge Rd
Suite 101
Rocky River, OH 44116-4312
Phone (440) 333-1020

Other identifiers 1

IdentifierTypeStateIssuer
2165366MedicaidOH

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
RN248501OHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Ohio Past Accepting new patients

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1417965153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 CENTER RIDGE RD",
            "address_2": "SUITE 101",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164312",
            "telephone_number": "440-333-1020",
            "fax_number": "440-331-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 CENTER RIDGE RD",
            "address_2": "SUITE 101",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441164312",
            "telephone_number": "440-333-1020",
            "fax_number": "440-331-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNCK",
        "first_name": "LOUISE",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "RN248501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165366",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.