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 |
| 1 | 367A00000X | Advanced Practice Midwife | | 146398 | MASSACHUSETTS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | CN0154 | OTHER | | BLUE SHIELD HMO BLUE |
| 2 | RN0029 | OTHER | | MEDICARE B |
| 3 | 7956635 | OTHER | | AETNA/US HEALTHCARE |
| 4 | 9713805001 | OTHER | | CIGNA PAL ID |
| 5 | CN0154 | OTHER | | BLUE SHIELD INDEMNITY |
| 6 | 042472256 | OTHER | | PRIVATE HEALTHCARE SYSTEM |
| 7 | 0381110 | OTHER | | MEDICAID/WELFARE |
| 8 | 042472266039 | OTHER | | TRICARE/CHAMPUS |
| 9 | 47094 | OTHER | | CHILDRENS MED SECURITY PL |
| 10 | 61227 | OTHER | | FALLON COMMUNITY HLTH PL |
| 11 | 9713805001 | OTHER | | CIGNA HEALTH PLAN |
| 12 | AA3471 | OTHER | | HARVARD PILGRIM HEALTHCAR |
| 13 | 420000565 | OTHER | | RAILROAD MEDICARE |
| 14 | 04247226 | OTHER | | ONE HEALTH PLAN |
| 15 | 042472266 | OTHER | | HEALTHCARE VALUE MNGMENT |
| 16 | 042472266 | OTHER | | THREE RIVERS |
| 17 | 2045900 | OTHER | | FIRST HEALTH |
| 18 | CN0154 | OTHER | | BLUE CARE ELECT |
| 19 | S33581 | MEDICARE UPIN | | |
| 20 | RN0029 | MEDICARE ID-TYPE UNSPECIFIED | | |
