Active NPI
Shirley M White-Walker, CNM
- Advanced Practice Midwife
- Newark, NJ
National Provider Identifier
1780695429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00038
- Practice address
- 741 Broadway
Newark, NJ 07104-4309 - Phone
- (973) 675-1900
- NPI assigned
- Aug 10, 2006
- 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 | 25ME00038 | NJ | Primary |
Addresses
Primary practice location
741 Broadway
Newark, NJ 07104-4309
Mailing address
741 Broadway
Newark, NJ 07104-4309
Phone (908) 754-0695
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1644807 | Medicaid | NJ |
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 |
|---|---|---|---|
| 25ME00038 | NJ | MD | Advanced Practice Midwife |
Interoperability endpoints
- shirley.whitewalker@nchc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1780695429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 BROADWAY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071044309",
"telephone_number": "908-754-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 BROADWAY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071044309",
"telephone_number": "973-675-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE-WALKER",
"first_name": "SHIRLEY",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1644807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.