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 | | 193924 | 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 | CN0160 | OTHER | | BLUE SHIELD INDEMNITY |
| 2 | 39861 | OTHER | | CHILDRENS MED SECURITY |
| 3 | 0381250 | MEDICAID | MASSACHUSETTS | |
| 4 | 3163834 | OTHER | | CIGNA HEALTH PLAN |
| 5 | 381305 | OTHER | | MVP HEALTH CARE |
| 6 | 61212 | OTHER | | FALLON COMMUNITY HEALTH |
| 7 | 7977623 | OTHER | | AETNA US HEALTHCARE |
| 8 | 04247226 | OTHER | | ONE HEALTH PLAN |
| 9 | 39861 | OTHER | | HEALTHY START |
| 10 | CN0160 | OTHER | | BLUE SHIELD HMO BLUE |
| 11 | S27144 | MEDICARE UPIN | | |
| 12 | RN0018 | MEDICARE ID-TYPE UNSPECIFIED | MASSACHUSETTS | |
| 13 | 0381250 | OTHER | | MEDICAID WELFARE |
| 14 | 042472266 | OTHER | | THREE RIVERS |
| 15 | RN0018 | OTHER | | MEDICARE B |
| 16 | AA3470 | OTHER | | HARVARD PILGRIM |
| 17 | CN0160 | OTHER | | BLUE CARE ELECT |
| 18 | 042472266 | OTHER | | PRIVATE HEALTHCARE SYSTEM |
