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Deactivated NPI 1285043695 Deactivated / Inactive NPI Female Practitioner

Corrie H Shattenkirk , CNM

Midwife • Omaha, NE

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Corrie Shattenkirk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2014
NPI Deactivation Date August 02, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Corrie Shattenkirk, CNM was a registered Midwife practicing in Omaha, NE. Throughout an active medical career spanning 9 years, Corrie Shattenkirk provided care at the practice location at 4920 S 30TH ST until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

4920 S 30th St
Suite 103

Omaha, NE 681071590

Telephone 4027344110
Fax 4027343990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Midwife in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Omaha, NE (10 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Midwife Primary Specialty

NUCC Taxonomy Code: 176B00000X

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Adriana Niemann , PLMHP

Counselor - Mental Health

NPI 1003107681
Angela Salazar , APRN

Nurse Practitioner - Family

NPI 1003427246

Advanced Practice Registered Nurse

Dr. Kristen Huber , MD

Family Medicine

NPI 1033127345

Doctor of Medicine (M.D.)

Jamila Stovall , CNM

Advanced Practice Midwife

NPI 1043059629

Certified Nurse Midwife

Stella Washington , PA-C

Physician Assistant

NPI 1043321573

Physician Assistant (Certified)

NPI 1043515901

Doctor of Philosophy (Ph.D.), LIMHP, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

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Updated Business Mailing Address May 10, 2018

Registered at PO BOX 158, SALT POINT, NY 125780158 (Tel: 4027344110)

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2018

Midwife (License #001778 in NY)

NPI Profile Active August 11, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 11, 2014

Registered at 4920 S 30TH ST, SUITE 103, OMAHA, NE 681071590 (Tel: 4027344110)

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Updated Business Mailing Address August 11, 2014

Registered at 4920 S 30TH ST, SUITE 103, OMAHA, NE 681071590 (Tel: 4027344110)

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Provider Name / Credentials Updated August 11, 2014

Recorded as CORRIE SHATTENKIRK, CNM

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2014

Midwife

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Initial NPI Registration & Enumeration August 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285043695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2014
Last Update: August 11, 2014
Deactivation Date: August 02, 2023

Mailing Address

4920 S 30th St, Suite 103

Omaha, NE 681071590

Phone: 4027344110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.