Individual provider Active NPI

Jacqueline Christine Ganshirt, CNM

  • Advanced Practice Midwife
  • Florence, KY
National Provider Identifier
1851447643
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
3004936 Issued in KY
Practice address
7370 Turfway Rd
Ste 390
Florence, KY 41042-4895
Phone
(859) 212-5125
Fax
(859) 212-5099
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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 3004936 KY Primary

Addresses

Primary practice location

7370 Turfway Rd
Ste 390
Florence, KY 41042-4895

Mailing address

4685 Forest Ave
Ste C
Cincinnati, OH 45212-3359
Phone (859) 212-5125

Other identifiers 3

IdentifierTypeStateIssuer
7100046190MedicaidKY
0060644MedicaidOH
P00985229OtherKYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070227000213 OH Practitioner - Certified Nurse Midwife (CNM) 7719089481 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
3004936KYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC CurrentSince Oct 17, 2016 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients
Trihealth G, LLC CurrentSince Oct 17, 2016 Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Greater Cincinnati Perinatal Associates, LLC Advanced Practice Midwife Past Accepting new patients
St. Luke Hospitals Inc Advanced Practice Midwife Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

3219 Clifton Ave
Ste 210
Cincinnati, OH 45220
Phone (513) 281-2390

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: jganshirt225639@direct.trihealth.com

Organizations & group practices 6

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1851447643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "address_2": "STE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123359",
            "telephone_number": "859-212-5125",
            "fax_number": "859-212-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 TURFWAY RD",
            "address_2": "STE 390",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424895",
            "telephone_number": "859-212-5125",
            "fax_number": "859-212-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSHIRT",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3004936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100046190",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0060644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00985229",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.