Active NPI
Nancy M Meehan, C.N.M.
- Midwife
- Elizabeth City, NC
National Provider Identifier
1457402760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CNM019
- Practice address
- 112 Medical Dr
Elizabeth City, NC 27909-3361 - Phone
- (252) 338-2151
- Fax
- (252) 338-2505
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | CNM019 | NC | Primary |
Addresses
Primary practice location
112 Medical Dr
Elizabeth City, NC 27909-3361
Mailing address
112 Medical Dr
Elizabeth City, NC 27909-3361
Phone (252) 338-2151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2590097 | Other | NC | PIN |
| 8979785 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNM019 | NC | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1457402760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-2151",
"fax_number": "252-338-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MEDICAL DR",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093361",
"telephone_number": "252-338-2151",
"fax_number": "252-338-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "NANCY",
"middle_name": "M",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NC",
"license": "CNM019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "2590097",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979785",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.