Individual provider Active NPI

Janet Weatherly, CNM

  • Advanced Practice Midwife
  • Clinton Township, MI
National Provider Identifier
1669400792
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
141191 Issued in MI
Practice address
15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone
(586) 285-3838
Fax
(586) 285-3994
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 141191 MI Primary

Addresses

Primary practice location

15717 15 Mile Rd
Clinton Township, MI 48035-2101

Mailing address

15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3838

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jweatherly3474@direct.hfhs.org Henry Ford Macomb Hospital Corporation
Direct Messaging Address jweatherly3474@direct.hfhs.org Henry Ford Macomb Hospital Corporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
141191MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

16151 19 Mile Rd
Ste 300
Clinton Twp, MI 48038
Phone (586) 228-1760

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

51221 Schoenherr Rd
Ste 201
Shelby Township, MI 48315
Phone (586) 254-3545

Interoperability endpoints

  • Direct secure messaging: jweatherly3474@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1669400792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15717 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352101",
            "telephone_number": "586-285-3838",
            "fax_number": "586-285-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 15 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480352101",
            "telephone_number": "586-285-3838",
            "fax_number": "586-285-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "JANET",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "141191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweatherly3474@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Macomb Hospital Corporation",
            "address_1": "15717 15 Mile Rd",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480352101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jweatherly3474@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Macomb Hospital Corporation",
            "address_1": "15717 15 Mile Rd",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480352101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.