Individual provider Active NPI

Jennifer Marie Nelson, R.N., B.S.N., T.M.

  • Midwife
  • Bradfordwoods, PA
National Provider Identifier
1912385287
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
185 Bradford Rd
Bradfordwoods, PA 15015-1247
Phone
(724) 968-2264
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X RN529078L PA
Midwife 176B00000X Primary

Addresses

Primary practice location

185 Bradford Rd
Bradfordwoods, PA 15015-1247

Mailing address

121 Sawmill LN
Butler, PA 16001-9656
Phone (724) 968-2264

Other practice location 1

121 Sawmill Ln
Butler, PA 16001
Phone (724) 968-2264

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN529078LPAMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Midwife & Company Midwife CurrentSince Apr 28, 2024 Accepting new patients
Private Healthcare Facilities Past Accepting new patients
National Birth Centers, Inc. Past Accepting new patients

Locations

185 Bradford Rd
Bradfordwoods, PA 15015
Phone (412) 634-5654

Organizations & group practices 3

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1912385287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAWMILL LN",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160019656",
            "telephone_number": "724-968-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BRADFORD RD",
            "city": "BRADFORDWOODS",
            "state": "PA",
            "postal_code": "150151247",
            "telephone_number": "724-968-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Sawmill Ln",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "16001",
            "country_code": "US",
            "telephone_number": "724-968-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "R.N., B.S.N., T.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "PA",
            "license": "RN529078L",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradfordwoods, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.