Jessica Durham, CNM

Key facts

NPI

1659787463

Entity type

Individual (NPI type 1)

Primary specialty

Advanced Practice Midwife 367A00000X

License

COA.15961-NM (OH)

Practice address

1600 E Riverview Ave
Suite 105
Napoleon, OH 43545-9805

Phone

(419) 599-0055

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• FCHC Medical Care, LLC Multi-Specialty Clinic/Center · Wauseon, OH · NPI 1598821175
  Medicare reassignment Care Compare group NPD OH
• Fulton County Health Center Critical Access Hospital · Wauseon, OH · NPI 1548279714
  NPD (past)

Hospital & facility affiliations 1

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

• Fulton County Health Center Critical Access Hospital · Wauseon, OH · NPI 1548279714
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FCHC Medical Care, LLC (58 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fulton County Health Center Hospital · Wauseon, OH · CCN 361333

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.durham@fultoncounty.medicity.net
• FHIR API: https://fhir4.healow.com/fhir/r4/JDGHCA/Endpoint/JDGHCA

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2014.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1659787463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E RIVERVIEW AVE",
            "address_2": "SUITE 105",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435459805",
            "telephone_number": "419-599-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JESSICA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.15961-NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Napoleon, OH · Advanced Practice Midwife in Ohio