Individual provider Active NPI

Kathleen M Nishida, CNM

  • Midwife
  • Bridgeport, CT
National Provider Identifier
1003913823
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW008566L Issued in PA
Practice address
509 Park Ave
Bridgeport, CT 06604-5859
Phone
(203) 330-6000
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN355082L PA
Midwife 176B00000X 600 CT
Midwife 176B00000X MW008566L PA Primary
Registered Nurse 163W00000X E59418 CT

Addresses

Primary practice location

509 Park Ave
Bridgeport, CT 06604-5859

Mailing address

46 Albion St
Bridgeport, CT 06605-2602
Phone (203) 330-6000

Other identifiers 1

IdentifierTypeStateIssuer
001792598MedicaidPA

Other names 1

  • Ms. Kathleen M Raffloer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070604000367 PA Practitioner - Certified Nurse Midwife (CNM) 4284732967 Reassigns benefits to 4 organizations
I20250827002008 CT Practitioner - Certified Nurse Midwife (CNM) 4284732967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 Silas Deane Hwy
Rocky Hill, CT 06067

46 Albion St
Bridgeport, CT 06605-2602

4703 Roaring Run Rd
Gillett, PA 16925-9691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
E59418CTMDRegistered Nurse
RN355082LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 1, 2025 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 12, 2022 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Feb 16, 2015 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jul 12, 2022 Accepting new patients
South-West Community Health Center, Inc CurrentSince Jun 29, 2026 Accepting new patients
St Mary Medical Center CurrentSince Jul 7, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Feb 16, 2015 Accepting new patients
St Mary Medical Center CurrentSince Jul 7, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince May 3, 2021 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 3, 2021 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

968 Fairfield Ave
Bridgeport, CT 06605

100 Retreat Ave
Hartford, CT 06106
Phone (860) 244-0148

2110 Silas Deane Hwy
Rocky Hill, CT 06067

2560 Knights Rd
Bensalem, PA 19020
Phone (215) 245-4334

3331 Street Rd
Ste 140
Bensalem, PA 19020
Phone (215) 245-8873

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

1401 S 31st St
#2
Philadelphia, PA 19146

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1003913823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ALBION ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052602",
            "telephone_number": "203-330-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066045859",
            "telephone_number": "203-330-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIDA",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN355082L",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "600",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "PA",
            "license": "MW008566L",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E59418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001792598",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "RAFFLOER",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.