Individual provider Active NPI

Virginia L Wade, CNM

  • Advanced Practice Midwife
  • Goldsboro, NC
National Provider Identifier
1851624837
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
102 Handley Park CT
Goldsboro, NC 27534-1768
Phone
(919) 734-3344
Fax
(919) 735-3025
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 Primary

Addresses

Primary practice location

102 Handley Park CT
Goldsboro, NC 27534-1768

Mailing address

324 N Queen St
Kinston, NC 28501-4932
Phone (252) 522-9800

Other practice location 1

324 N Queen St
Kinston, NC 28501-4932
Phone (252) 522-9800 ext. 258

Other identifiers 1

IdentifierTypeStateIssuer
13053OtherNCAMERICAN MIDWIFERY CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20091231000479 NC Practitioner - Certified Nurse Midwife (CNM) 1052452745 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients

Locations

102 Handley Park Ct
Goldsboro, NC 27534
Phone (919) 734-3344

701 Doctors Dr
Ste E1
Kinston, NC 28501
Phone (252) 775-5930

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: vwade@e0c09f08.micromddirect.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1851624837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-522-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HANDLEY PARK CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341768",
            "telephone_number": "919-734-3344",
            "fax_number": "919-735-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 N Queen St",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285014932",
            "country_code": "US",
            "telephone_number": "252-522-9800 x258",
            "fax_number": "252-523-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "VIRGINIA",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MIDWIFERY CERTIFICATION",
            "identifier": "13053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.