Individual provider Active NPI

Jamesina Marie Harrick, CRNP

  • Women's Health Nurse Practitioner
  • Byrn Mawr, PA
National Provider Identifier
1962482364
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP008470 Issued in PA
Practice address
918 County Line Road
The Birth Center
Byrn Mawr, PA 19010
Phone
(610) 525-6086
Fax
(610) 525-1846
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ME00041200 NJ
Advanced Practice Midwife 367A00000X MW010082 PA
Women's Health Nurse Practitioner 363LW0102X SP008470 PA Primary

Addresses

Primary practice location

918 County Line Road
The Birth Center
Byrn Mawr, PA 19010

Mailing address

918 County Line Road
The Birth Center
Byrn Mawr, PA 19010
Phone (610) 525-6086

Other identifiers 1

IdentifierTypeStateIssuer
0113042MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
SP008470PAMDWomen's Health Nurse Practitioner
ME00041200NJMDAdvanced Practice Midwife
MW010082PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Birth Center Past Accepting new patients
The Birth Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamesina.harrick.1@24387.direct.athenahealth.com

Organizations & group practices 2

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1962482364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 COUNTY LINE ROAD",
            "address_2": "THE BIRTH CENTER",
            "city": "BYRN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-6086",
            "fax_number": "610-525-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 COUNTY LINE ROAD",
            "address_2": "THE BIRTH CENTER",
            "city": "BYRN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-6086",
            "fax_number": "610-525-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRICK",
        "first_name": "JAMESINA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "ME00041200",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010082",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP008470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113042",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.