Ellen K Adamo, CNM

Individual provider Active NPI Advanced Practice Midwife · Madisonville, TN

NPI 1003344672 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1003344672
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
19578 (TN)
Practice address
3459 New Highway 68
Madisonville, TN 37354-5148
Phone
(423) 442-6624
NPI assigned
May 26, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
19578TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Wellness and Maternity Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ellen.adamo.1@14062.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 19578 TN Yes

Addresses

Primary practice location

3459 New Highway 68
Madisonville, TN 37354-5148

Mailing address

PO Box 115
Madisonville, TN 37354-0115
Phone (423) 442-6624

Other providers in Madisonville, TN

All providers in Madisonville, TN · Advanced Practice Midwife in Tennessee

Sources for this page

Verify at the official NPI Registry.