University Health System Inc
Organization Active NPI Advanced Practice Midwife · Knoxville, TN
NPI 1922583780 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1922583780
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- Legal business name
- UNIVERSITY HEALTH SYSTEM INC
- Practice address
- 1928 Alcoa Hwy Ste 205
Knoxville, TN 37920-1504 - Phone
- (865) 305-4305
- Fax
- (865) 305-4067
- NPI assigned
- Sep 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Beth A. Maynard
- Title
- Vice President
- Phone
- (865) 305-6427
Corporate family (same tax ID) 18
Practitioners 12
-
Elizabeth Bieri, CNM, IBCLC
-
Jessica Lynn Bonner, CNM
-
Danna S Bush, CNM
-
Kari Lynn Cummins, CNM
-
Annie Leigh Jarnagin, PA-C
-
Susan Marie Leach, CNM
-
Sarah Musgrove, CNM
-
Sarah K Roach, PA-C
-
Jodie Simms-Macleod, CNM
-
Sarah Key Wiklund, CNM
-
Edvinas Vaicikauskas, PA-C
-
Gary L. Klipple, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2152264 | University Midwives | Provider-performed microscopy | Sep 25, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000809 | TN | Part B Supplier - Clinic/Group Practice | 5294646378 |
Receives reassigned benefits from 881 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Nmorth Knox Primary Car
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | |||
| Advanced Practice Midwife |
367A00000X | Yes |
Addresses
Primary practice location
1928 Alcoa Hwy Ste 205
Knoxville, TN 37920-1504
Mailing address
PO Box 415000-Msc8152
Nashville, TN 37241-8152
Phone (865) 670-6199
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
Other names
- University Midwives
Other providers in Knoxville, TN
- University Health System Inc
- University Health System Inc
- University Health System Inc
- University Health System Inc
- University Health System Inc
- University Health System Inc
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc
All providers in Knoxville, TN · Advanced Practice Midwife in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.