Active NPI
Deborah Louise Woolley, CNM
- Advanced Practice Midwife
- Scott Depot, WV
National Provider Identifier
1689864308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 72000127A
- Practice address
- 301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552 - Phone
- (304) 757-6999
- Fax
- (304) 201-5019
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 72000127A | IN | Primary |
Addresses
Primary practice location
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Mailing address
301 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9552
Phone (304) 757-6999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200870260 | Medicaid | IN | |
| 3810026505 | Medicaid | WV |
Other names 1
- Deborah Woolley Perlis
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72000127A | IN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Women'S Health, P.C. | Past | Accepting new patients |
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.
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- NPI 1356369292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1689864308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609552",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GREAT TEAYS BLVD STE 6",
"city": "SCOTT DEPOT",
"state": "WV",
"postal_code": "255609552",
"telephone_number": "304-757-6999",
"fax_number": "304-201-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLLEY",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "72000127A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200870260",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810026505",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "PERLIS",
"middle_name": "WOOLLEY",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Scott Depot, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.