Vanessa R. North, CNM, WHNP
Individual provider Active NPI Advanced Practice Midwife · Whiteman Afb, MO
NPI 1629307442 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1629307442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 15139 (TN)
- Practice address
- 509 MDG, 331 Sijan Avenue
Whiteman Afb, MO 65305 - Phone
- (660) 687-2188
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130318000418 | NV | Order and Referring Only - Certified Nurse Midwife (CNM) | 7416192661 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101071 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 101071 | TN | |
| Advanced Practice Midwife | 367A00000X | 15139 | TN | Yes |
Addresses
Primary practice location
509 MDG, 331 Sijan Avenue
Whiteman Afb, MO 65305
Mailing address
509 MDG, 331 Sijan Avenue
Whiteman Afb, MO 65305
Phone (660) 687-2188
Other providers in Whiteman Afb, MO
- Brianne Daigh Manglitz
- Daniel Allen Martin
- Michael William Martin
- Kimberly A Mayberry
- Deborah Ann Nichols
- Douglas Melvin Odegaard Jr.
- Victor D Parker III
- Kimberlee J Parrott
- Trent Lyle Payne
- Benjamen E Pennington
All providers in Whiteman Afb, MO · Advanced Practice Midwife in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.