Haguerenesh Woldeyohannes, CNM, MSN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

0024179116 Issued in VA

Practice address

1608 Austin Meadows Dr
Decatur, GA 30032-3887

Phone

(909) 561-2650

NPI assigned

Jul 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science - Nursing

Practice roles

Locations

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.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1942819677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 AUSTIN MEADOWS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323887",
            "telephone_number": "909-561-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 AUSTIN MEADOWS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323887",
            "telephone_number": "909-561-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDEYOHANNES",
        "first_name": "HAGUERENESH",
        "credential": "CNM, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0024179116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Trevor Witcher, RPH
• Crystal D Witherspoon, LMSW
• Angela Lynn Wittenauer, FNP-C
• Brett A Witz, PAA
• Patricia K Woeltz, APRN
• Amanda Wolfe, PSYD
• Peyton Haley Wolfe
• Phillis Wolfe, BCBA
• Women'S Healthcare Network
• Women'S Imaging Specialists - Decatur, LLC

• Midwife in Decatur, GA
• Providers in Decatur, GA by specialty
• Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.