Active NPI
Jodi Henderson Toledo, RN
- Advanced Practice Midwife
- Cumming, GA
National Provider Identifier
1740584580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN154366
- Practice address
- 1800 Northside Forsyth Dr
Suite 350
Cumming, GA 30041-8416 - Phone
- (770) 886-3555
- Fax
- (770) 205-6501
- NPI assigned
- Jan 10, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN154366 | GA | |
| Advanced Practice Midwife | 367A00000X | RN154366 | GA | Primary |
Addresses
Primary practice location
1800 Northside Forsyth Dr
Suite 350
Cumming, GA 30041-8416
Mailing address
1800 Northside Forsyth Dr
Suite 350
Cumming, GA 30041-8416
Phone (770) 886-3555
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN154366 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1740584580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 NORTHSIDE FORSYTH DR",
"address_2": "SUITE 350",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418416",
"telephone_number": "770-886-3555",
"fax_number": "770-205-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 NORTHSIDE FORSYTH DR",
"address_2": "SUITE 350",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418416",
"telephone_number": "770-886-3555",
"fax_number": "770-205-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLEDO",
"first_name": "JODI",
"middle_name": "HENDERSON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN154366",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN154366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.