Active NPI
Kristina Shepherd, CNM
- Advanced Practice Midwife
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 00141
- Practice address
- 1019 Iyannough Rd Ste 100
Hyannis, MA 02601-1839 - Phone
- (508) 771-8010
- NPI assigned
- Dec 19, 2012
- Last updated
- Apr 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2274823 | MA | MD | Advanced Practice Midwife |
| 00141 | RI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imperatives Inc. | Current | Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Health Imperatives Inc. | Current | Accepting new patients | |
| Planned Parenthood of Southern New England, Inc. | Current | 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
- 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.
-
dba Brockton Family Planning
- Non-Surgical Family Planning Clinic/Center
- Brockton, MA
- NPI 1760526420
-
- Ambulatory Family Planning Facility
- New Haven, CT
- NPI 1174633143
RI
-
dba Landmark Physician Office Services
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1457772543
Advanced Practice Midwife
-
dba Plymouth Family Planning
- Non-Surgical Family Planning Clinic/Center
- Plymouth, MA
- NPI 1861536906
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba New Bedford Family Planning
- Non-Surgical Family Planning Clinic/Center
- New Bedford, MA
- NPI 1013051614
-
- Advanced Practice Midwife
- Hope, RI
- NPI 1700145992
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.