KELSEY LAUREN ENNIS (NPI# 1033724372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033724372 |
| Entity Type | Individual |
| Full Name | KELSEY LAUREN ENNIS |
| Credential | CNM, WHNP-BC |
| Practice Address |
114 Nationwide Dr Lynchburg VA 24502-4271 |
| Mailing Address |
6615 E 112th Pl S Bixby OK 74008-2057 |
| Practice Telephone | 4342397890 |
| Mailing Telephone | 9188578740 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R0133249 | OK | Nursing Service Providers |
| Y | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
114 NATIONWIDE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215919303 | William F Baker | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2005-11-15 |
| 1932639259 | Shannon Marie Dechant | Nurse Practitioner | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2017-06-19 |
| 1740634922 | Jerrod Justice | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2016-04-14 |
| 1427468966 | James Stuart May | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502 | 2014-05-06 |
| 1649405820 | Catherine S. Schuller. | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2009-05-18 |
| 1215181656 | Ajith Zacharia Cherian | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2008-11-12 |
| 1558560425 | Yasmeen J M Adams | Nurse Practitioner | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2007-07-12 |
| 1831289339 | John G. Pierce | Internal Medicine | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2006-10-13 |
| 1053417196 | Women's Health Services of Central Virginia, Inc. | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2006-09-16 |
| 1740202902 | Michael S. Robertson | Obstetrics & Gynecology | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2006-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262666 | Teresa M Warner | Advanced Practice Midwife | 114 Nationwide Dr, Lynchburg, VA 24502-4271 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527140 | Leah Suzanne Choate | Advanced Practice Midwife | 2048 Cross County Rd, Mineral, VA 23117-2519 | 2020-10-28 |
| 1770199978 | Rachael Leffler Freeman | Advanced Practice Midwife | 1011 Care Way Ste 200, Fredericksburg, VA 22401-8439 | 2020-09-22 |
| 1194340869 | Stephenia Marie Deloglos | Advanced Practice Midwife | 7603 Forest Ave Ste 207, Richmond, VA 23229-4937 | 2020-06-09 |
| 1174147722 | Emma Navarro Gupta | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 225, Fredericksburg, VA 22408-7765 | 2020-05-29 |
| 1932734316 | Aaron Matthew Diestel | Advanced Practice Midwife | 420 Cobblestone Dr Apt 109, Fredericksburg, VA 22401-6675 | 2020-03-06 |
| 1144880600 | Julie Anne Flanagan | Advanced Practice Midwife | 1101 Sam Perry Blvd Ste 401, Fredericksburg, VA 22401-4466 | 2019-06-17 |
| 1750875498 | Pauline D Thompson | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 310, Fredericksburg, VA 22408-7766 | 2018-06-16 |
| 1972028199 | Stephanie Creighton Barrett | Advanced Practice Midwife | 3803 Fairfax Dr Ste 500, Arlington, VA 22203-5861 | 2017-08-09 |
| 1265955728 | Casey Lynette Morrow | Advanced Practice Midwife | 1850 Town Center Pkwy Ste 650, Reston, VA 20190-3300 | 2017-07-17 |
| 1295285666 | Robin Jennifer Pass Tucker | Advanced Practice Midwife | 44055 Riverside Pkwy Ste 234, Leesburg, VA 20176-5177 | 2016-10-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.