Active NPI
Mary M McNicholas, CNM MSN
- Advanced Practice Midwife
- Sun Prairie, WI
National Provider Identifier
1427025113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 129427
- Practice address
- 10 Tower Dr
Sun Prairie, WI 53590-1239 - Phone
- (608) 825-3008
- NPI assigned
- Mar 2, 2006
- 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 | 129427 | WI | Primary |
Addresses
Primary practice location
10 Tower Dr
Sun Prairie, WI 53590-1239
Mailing address
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone (608) 825-3008
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129427 | WI | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1427025113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNICHOLAS",
"first_name": "MARY",
"middle_name": "M",
"credential": "CNM MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "129427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.