Jamie Danielle Guertin, C.N.M.

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0991510 Issued in CO

Practice address

77 Nealy Ave
Hampton, VA 23665-2040

Phone

(757) 225-7630

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jamie Danielle Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Interoperability endpoints

• Direct secure messaging: jguertin158166@direct.rivhs.com

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1538565767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NEALY AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NEALY AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652040",
            "telephone_number": "757-225-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "JAMIE",
        "middle_name": "DANIELLE",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "0991510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "CARLSON",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Group Residential and Care Establishment
• Alyssia Grundy
• Colleen Grunhaus, LPC
• Daniel Grunhaus, LPC
• William Agur Grunow, M.D.
• Maria Guina-Byrne, M.D.
• Vikas Gupta, M.D.
• Marianne M Gustafson, MSW, LCSW
• Leia Jo Gustin, AGACNP
• Mary Lydon Guye, M.D.

• Advanced Practice Midwife in Hampton, VA
• Providers in Hampton, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.