Provider Type Icon

NICOLE MARIE POTHAST MSN CNM NPI 1104376219


NPI Information

NPI: 1104376219
Provider Name: NICOLE MARIE POTHAST, MSN, CNM
Classification: Advanced Practice Midwife - 367A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
433 W HIGH ST
BRYAN, OH
ZIP 43506
Phone: (419) 636-1131
Get Directions

Nicole Marie Pothast, MSN, CNM is an advanced practice midwife in Bryan, OH. The provider is advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure. Nicole Marie Pothast, MSN, CNM NPI is 1104376219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

433 W HIGH ST
BRYAN, OH
ZIP 43506-690
Phone: (419) 636-1131
Fax: (419) 636-3100

The NPI 1104376219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 4/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367A00000XAdvanced Practice Midwife019332OHIOYes
2367A00000XAdvanced Practice Midwife71006654INDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.