Carrie Jividen, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

2151 W Fair Ave
Unit 113
Lancaster, OH 43130-8820

Phone

(740) 475-8446

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carriejividen@hofhc.allscriptsdirect.net
• Direct secure messaging: carriejividen@hphc.allscriptsdirect.net

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

• Ohiohealth Corporation

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1578545273
  Medicare reassignment NPD
• Health Professionals of Holmes County, Inc

  • Specialist
  • Sugarcreek, OH
  • NPI 1083897060
  Medicare reassignment
• Ohiohealth Corporation

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1407292105
  NPD
• Health Professionals of Holmes County, Inc

  • Rural Health Clinic/Center
  • Millersburg, OH
  • NPI 1790215614
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1447616438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 W FAIR AVE",
            "address_2": "UNIT 113",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308820",
            "telephone_number": "740-475-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W FAIR AVE",
            "address_2": "UNIT 113",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308820",
            "telephone_number": "740-475-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIVIDEN",
        "first_name": "CARRIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Jenkins, MD
• Madison Jenkins
• Stephanie Leigh Jenkins
• Sean Nathaniel Jerig, M.D.
• Evin G Jerkins, D.O.
• Nathaniel William Johns, MD
• Amy Lynn Johnson, RN
• Chelsea Johnson
• Darren Johnson
• Dennis B Johnson, DDS

• Advanced Practice Midwife in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Advanced Practice Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.