Emmy Jo Davis, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

B127278 Issued in IA

Practice address

417 S East St
Corydon, IA 50060-1860

Phone

(641) 872-2063

Fax

(641) 872-2070

NPI assigned

Mar 9, 2011

Last updated

Aug 18, 2016By the provider in NPPES

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

• Emmy Jo Wyss Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne County Hospital Hospital, Corydon, IA, CCN 161358

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Wayne County Hospital

  • Critical Access Hospital
  • Corydon, IA
  • NPI 1174599468
  Medicare reassignment Care Compare group NPD
• Wayne County Hospital

  dba Your Neighborhood Pharmacy

  • Community/Retail Pharmacy
  • Corydon, IA
  • NPI 1457902314
  NPD
• Wayne County Hospital

  • Family Medicine Physician
  • Corydon, IA
  • NPI 1740406776

  Advanced Practice Midwife

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wayne County Hospital

  • Critical Access Hospital
  • Corydon, IA
  • NPI 1174599468
  Care Compare affiliation

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1609174002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S EAST ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601860",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S EAST ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601860",
            "telephone_number": "641-872-2063",
            "fax_number": "641-872-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMMY",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B127278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMY",
            "last_name": "WYSS",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Care Initiatives (Corydon Specialty Care)
• Charles A Clark, OD
• Kevin G Comer, LMSW
• Corydon Pharmacy Inc (Nessen Pharmacy)
• Galen R Daniels, PA
• Joshua Wayne Davis, PHARMD
• Angela M Downs, MSN, ARNP, FNP-C
• Tylar Ann Enright, TCADC
• Tiffany Evans, PHARMD
• Marissa Kay Evers, PHARMD

• Advanced Practice Midwife in Corydon, IA
• Providers in Corydon, IA by specialty
• Advanced Practice Midwife in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.