Individual provider Active NPI

Meredith Davis, CNM

  • Advanced Practice Midwife
  • Dover, NH
National Provider Identifier
1023479672
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
091981-23 Issued in NH
Practice address
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone
(603) 749-4963
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 CNM192011 ME
Advanced Practice Midwife 367A00000X 091981-23 NH Primary

Addresses

Primary practice location

15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869

Mailing address

PO Box 412503
Boston, MA 02241-2503
Phone (617) 726-3884

Other practice location 1

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001722 NH Practitioner - Certified Nurse Midwife (CNM) 1850681966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
091981-23NHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 23, 2023 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Oct 23, 2023 Accepting new patients
York Hospital PastSince Jan 6, 2020 Accepting new patients
Baystate Medical Practices, Inc PastSince Apr 1, 2016 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Interoperability endpoints

  • Direct secure messaging: davis.meredith.wdh@direct.partners.masshiway.net
  • Direct secure messaging: mdavis448811@direct.bilh.masshiway.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1023479672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412503",
            "telephone_number": "617-726-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD ROLLINSFORD RD STE 102",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202869",
            "telephone_number": "603-749-4963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091011",
            "country_code": "US",
            "telephone_number": "207-351-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MEREDITH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ME",
            "license": "CNM192011",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "091981-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.