Kimberly A Capello, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

229918 Issued in MA

Practice address

59 Old Road to 9 Acre Cor
Ste 1
Concord, MA 01742-3317

Phone

(978) 371-0302

NPI assigned

Dec 27, 2006

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kimberly A Blanchard Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: capello.kimberly.epho@direct.partners.masshiway.net

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.

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  • NPI 1114919313
  Medicare reassignment NPD
• Emerson Hospital

  • General Acute Care Hospital
  • Concord, MA
  • NPI 1467587881
  NPD

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1043375090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 OLD ROAD TO 9 ACRE COR",
            "address_2": "STE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-371-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 OLD ROAD TO 9 ACRE COR",
            "address_2": "STE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-371-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPELLO",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "229918",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "229918",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "229918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BLANCHARD",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camp Thoreau Inc
• Bhaird A Campbell, LIC. AC.
• Sarah Cantin-Langlois, DPM
• Robert Clark Cantu, M.D.
• Quyen Thuy Cao, PHARMD
• Daniela J Capriles Diaz, M.D.
• Alexia Caprio, CRNA
• Hannah Carnathan
• Stephanie Caron
• Lauren S. Carratu

• Advanced Practice Midwife in Concord, MA
• Providers in Concord, MA by specialty
• Advanced Practice Midwife in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.