Individual provider Active NPI

Jessica Wahler, DNP, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Lakewood, NJ
National Provider Identifier
1689283152
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00072101 Issued in NJ
Practice address
1382 Lanes Mill Rd
Lakewood, NJ 08701-3892
Phone
(732) 994-4242
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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 25ME00072101 NJ Primary

Addresses

Primary practice location

1382 Lanes Mill Rd
Lakewood, NJ 08701-3892

Mailing address

1382 Lanes Mill Rd
Lakewood, NJ 08701-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00072101NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Comprehensive Health Care of New Jersey PastSince Aug 22, 2016 Accepting new patients
Lifeline Medical Associates, LLC PastSince Aug 2, 2020 Accepting new patients
Tru OBGYN & Birth Center LLC PastSince Aug 2, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.wahler.1@6387.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10520/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1689283152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013892",
            "telephone_number": "732-994-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLER",
        "first_name": "JESSICA",
        "credential": "DNP, CNM, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00072101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.