Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144881640 Individual Practitioner Female Practitioner

Kimberly Veronica Wallace , CNM APRN

Advanced Practice Midwife • Massillon, OH

Professional Overview & Biography Verified Profile Summary

Kimberly Wallace, CNM APRN is a registered healthcare professional specializing in Advanced Practice Midwife in Massillon, OH. Practice services are available at 100 LILLIAN GISH BLVD SW STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Lillian Gish Blvd Sw Ste 201

Massillon, OH 446476500

Telephone 3308090460

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in Massillon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Massillon, OH (498 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

CMS Verified: 2022-01-12
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

State License OH APRN.CNM.019392

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.

Secondary Practice Locations

830 S Main St Ste 102

Orrville, OH 446672218

Phone: 3307659104

2315 Myrtle St Ste 290

Erie, PA 165024609

Phone: 8144525504

Practice Associates & Co-Workers

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

3 Associated Practitioners
Taylor Kettering , APRN

Nurse Practitioner - Family

NPI 1255077913

Advanced Practice Registered Nurse

Susan Gutlove

Nurse Practitioner

NPI 1447627708
Nina Wilson , CNM

Advanced Practice Midwife

NPI 1962479709

Certified Nurse Midwife

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 06, 2020

Registered at 100 LILLIAN GISH BLVD SW STE 201, MASSILLON, OH 446476500 (Tel: 3308090460)

📍
Updated Business Mailing Address August 06, 2020

Registered at 3574 MELROSE DR, WOOSTER, OH 446911857 (Tel: 6143701035)

NPI Profile Active June 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2019

Registered at 214 TROTTERS CIRCLE, DELAWARE, OH 43015 (Tel: 6143701035)

📍
Updated Business Mailing Address June 25, 2019

Registered at 214 TROTTERS CIRCLE, DELAWARE, OH 43015 (Tel: 6143701035)

👤
Provider Name / Credentials Updated June 25, 2019

Recorded as KIMBERLY WALLACE, CNM APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2019

Advanced Practice Midwife (License #APRN.CNM.019392 in OH)

🟢
Initial NPI Registration & Enumeration June 25, 2019

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: 1144881640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2019
Last Update: January 12, 2022
Sole Proprietor: No

Mailing Address

3574 Melrose Dr

Wooster, OH 446911857

Phone: 6143701035

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.