Individual provider Active NPI

Amanda Breed McSweeney, C.N.M.

  • Advanced Practice Midwife
  • Waltham, MA
National Provider Identifier
1043410590
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1010027372 Issued in VT
Practice address
355 Waverley Oaks Rd
Suite 275
Waltham, MA 02452-8474
Phone
(781) 893-5550
Fax
(781) 893-0448
NPI assigned
Jul 23, 2007
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1010027372 VT Primary

Addresses

Primary practice location

355 Waverley Oaks Rd
Suite 275
Waltham, MA 02452-8474

Mailing address

99 Normandy Ave
Apartment 2
Cambridge, MA 02138-1016
Phone (781) 893-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110211000753 MA Practitioner - Certified Nurse Midwife (CNM) 8022103910 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Auburn Professional Services Inc CurrentSince May 20, 2017 Accepting new patients

Locations

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

355 Waverly Oaks Rd
Ste 275
Waltham, MA 02452
Phone (781) 893-5550

Interoperability endpoints

  • Direct secure messaging: amcsweeney252980@direct.bilh.masshiway.net

Organizations & group practices 1

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1043410590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NORMANDY AVE",
            "address_2": "APARTMENT 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381016",
            "telephone_number": "781-893-5550",
            "fax_number": "781-893-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 WAVERLEY OAKS RD",
            "address_2": "SUITE 275",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528474",
            "telephone_number": "781-893-5550",
            "fax_number": "781-893-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "AMANDA",
        "middle_name": "BREED",
        "name_prefix": "Ms.",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010027372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.