Individual provider Active NPI

Caroline Dubay Cusenza, LM, CPM

  • Midwife
  • Monterey, CA
National Provider Identifier
1033452214
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
364 Issued in CA
Practice address
4 Harris CT Ste a
Monterey, CA 93940-5798
Phone
(831) 717-4723
Fax
(831) 740-3808
NPI assigned
Apr 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 364 CA Primary

Addresses

Primary practice location

4 Harris CT Ste a
Monterey, CA 93940-5798

Mailing address

4 Harris CT Ste a
Monterey, CA 93940-5798
Phone (831) 717-4723

Other practice location 1

833 Cass St
Monterey, CA 93940-2904
Phone (831) 233-4440

Other practice location 2

833 Cass St
Monterey, CA 93940-2904
Phone (831) 233-4440

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
364CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1033452214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARRIS CT STE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405798",
            "telephone_number": "831-717-4723",
            "fax_number": "831-740-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARRIS CT STE A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405798",
            "telephone_number": "831-717-4723",
            "fax_number": "831-740-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Cass St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939402904",
            "country_code": "US",
            "telephone_number": "831-233-4440",
            "fax_number": "831-740-3808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Cass St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939402904",
            "country_code": "US",
            "telephone_number": "831-233-4440",
            "fax_number": "831-740-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUSENZA",
        "first_name": "CAROLINE",
        "middle_name": "DUBAY",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.