Active NPI
Jennifer Marie Nelson, R.N., B.S.N., T.M.
- Midwife
- Bradfordwoods, PA
National Provider Identifier
1912385287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN529078L | PA | MD | Maternal Newborn Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburgh Midwife & Company | Midwife | Current | 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.
-
- Midwife
- Bradfordwoods, PA
- NPI 1184470932
-
dba Pittsburgh Midwife
- Birthing Clinic/Center
- Butler, PA
- NPI 1942875620
-
- Birthing Clinic/Center
- Butler, PA
- NPI 1639798515
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.