Individual provider Active NPI

Debra Kim Meuche, CNM

  • Advanced Practice Midwife
  • Ravenna, OH
National Provider Identifier
1962548545
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM-03539 Issued in OH
Practice address
6847 N Chestnut St
Suite 300
Ravenna, OH 44266-3929
Phone
(330) 296-4165
Fax
(330) 296-5536
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-185626 OH
Advanced Practice Midwife 367A00000X CNM-03539 OH Primary

Addresses

Primary practice location

6847 N Chestnut St
Suite 300
Ravenna, OH 44266-3929

Mailing address

5311 Walnut Grove LN
Ravenna, OH 44266-8289
Phone (330) 297-6054

Other identifiers 1

IdentifierTypeStateIssuer
2053674MedicaidOH

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN-185626OHMDRegistered Nurse
CNM-03539OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Robinson Health Affiliates, Inc. Past Accepting new patients
Robinson Memorial Portage County Hospital Past Accepting new patients

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1962548545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 WALNUT GROVE LN",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668289",
            "telephone_number": "330-297-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 N CHESTNUT ST",
            "address_2": "SUITE 300",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663929",
            "telephone_number": "330-296-4165",
            "fax_number": "330-296-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUCHE",
        "first_name": "DEBRA",
        "middle_name": "KIM",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-185626",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "CNM-03539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053674",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.