Active NPI
Lucinda M Brown, CNM
- Midwife
- Newport News, VA
National Provider Identifier
1841213741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 0024168981
- Practice address
- 860 Omni Blvd Ste 110
Newport News, VA 23606 - Phone
- (757) 232-9794
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | WV39836 | WV | |
| Midwife | 176B00000X | 42 | WV | |
| Midwife | 176B00000X | 0024168981 | VA | Primary |
Addresses
Primary practice location
860 Omni Blvd Ste 110
Newport News, VA 23606
Mailing address
860 Omni Blvd Ste 303
Newport News, VA 23606-4477
Phone (757) 232-8769
Other practice location 1
1355 N Preston Hwy
Kingwood, WV 26537-7633
Phone (717) 254-9352
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR9255724 | Other | WV | MEDICARE PMMG GROUP |
| 001892715 | Other | WV | BCBS |
| 0159868000 | Medicaid | WV | |
| BRNM00374 | Other | WV | MEDICARE PIN (PMMG) |
| WV39836 | Other | WV | HEALTH PLAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV39836 | WV | MD | Registered Nurse |
| 0024168981 | VA | MD | Midwife |
| 42 | WV | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physicians Multispecialty Group PC | Past | Accepting new patients | |
| Tidewater Physicians Multispecialty Group PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGFHDD
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Williamsburg, VA
- NPI 1316790512
-
- Family Medicine Physician
- Newport News, VA
- NPI 1902848294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1841213741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 OMNI BLVD STE 303",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064477",
"telephone_number": "757-232-8769",
"fax_number": "757-232-8875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 OMNI BLVD STE 110",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "23606",
"telephone_number": "757-232-9794"
}
],
"practiceLocations": [
{
"address_1": "1355 N Preston Hwy",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "WV",
"postal_code": "265377633",
"country_code": "US",
"telephone_number": "717-254-9352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "LUCINDA",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "WV39836",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WV",
"license": "42",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0024168981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PMMG GROUP",
"identifier": "PR9255724",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "001892715",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0159868000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN (PMMG)",
"identifier": "BRNM00374",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "WV39836",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.