Individual provider Active NPI

Kristina Shepherd, CNM

  • Advanced Practice Midwife
  • Hyannis, MA
National Provider Identifier
1013253079
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
00141 Issued in RI
Practice address
1019 Iyannough Rd Ste 100
Hyannis, MA 02601-1839
Phone
(508) 771-8010
NPI assigned
Dec 19, 2012
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 00141 RI Primary
Advanced Practice Midwife 367A00000X 2274823 MA

Addresses

Primary practice location

1019 Iyannough Rd Ste 100
Hyannis, MA 02601-1839

Mailing address

30 Lauriston St
Providence, RI 02906-3631
Phone (508) 369-9464

Other practice location 1

577 Broad St
Central Falls, RI 02863-2837
Phone (401) 305-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20140625000601 RI Practitioner - Certified Nurse Midwife (CNM) 1456576958 Reassigns benefits to 2 organizations
I20151202002115 MA Practitioner - Certified Nurse Midwife (CNM) 1456576958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Imperatives IncGroup PAC ID 9931328481, 8 clinicians

Practice addresses (Care Compare)

111 Torrey St
Brockton, MA 02301-4800
Phone (508) 559-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2274823MAMDAdvanced Practice Midwife
00141RIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imperatives Inc. CurrentSince Oct 30, 2017 Accepting new patients
Prime Healthcare Services Landmark LLC Advanced Practice Midwife CurrentSince Mar 1, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Mar 1, 2016 Accepting new patients
Health Imperatives Inc. CurrentSince Oct 30, 2017 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince May 2, 2014 Accepting new patients
Health Imperatives Inc. Past Accepting new patients
Ri Homebirth and Hope Family Health Advanced Practice Midwife Past Accepting new patients

Locations

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

942 W Chestnut St
Brockton, MA 02301
Phone (508) 583-3005

111 Torrey St
Brockton, MA 02301
Phone (508) 584-5190

175 Broad St
Providence, RI 02903
Phone (401) 421-9620

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIFCA/Endpoint/IJIFCA

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1013253079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LAURISTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063631",
            "telephone_number": "508-369-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 IYANNOUGH RD STE 100",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011839",
            "telephone_number": "508-771-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "577 Broad St",
            "address_purpose": "LOCATION",
            "city": "Central Falls",
            "state": "RI",
            "postal_code": "028632837",
            "country_code": "US",
            "telephone_number": "401-305-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KRISTINA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "00141",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "2274823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.