Active NPI
Ashley Loretta Mirmak, CNM
- Advanced Practice Midwife
- Chesapeake, VA
National Provider Identifier
1912258260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0024172326
- Practice address
- 824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697 - Phone
- (757) 410-7390
- Fax
- (757) 410-7395
- NPI assigned
- Sep 26, 2012
- Last updated
- Dec 8, 2020
- 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 | 0024172326 | VA | Primary |
Addresses
Primary practice location
824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023482965 | Other | VA | OB/GYN |
Other names 1
- Ashley Loretta Allen
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 |
|---|---|---|---|
| 0024172326 | VA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William K Rand, III, Gynecology PLLC | Past | Accepting new patients |
Interoperability endpoints
- ashley.mirmak.1@12771.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Chesapeake, VA
- NPI 1710070909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1912258260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 GREENBRIER PKWY STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203697",
"telephone_number": "757-410-7390",
"fax_number": "757-410-7395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRMAK",
"first_name": "ASHLEY",
"middle_name": "LORETTA",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024172326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OB/GYN",
"identifier": "1023482965",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "ALLEN",
"middle_name": "LORETTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.