Active NPI
Caroline Kern Privitt, CNM
- Advanced Practice Midwife
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN2389145
- Practice address
- 161 Jackson St
Lowell, MA 01852-2103 - Phone
- (978) 937-9700
- Fax
- (978) 221-6728
- NPI assigned
- Sep 9, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 001972 | NY | |
| Advanced Practice Midwife | 367A00000X | 089532-23 | NH | |
| Advanced Practice Midwife | 367A00000X | RN2389145 | MA | Primary |
Addresses
Primary practice location
161 Jackson St
Lowell, MA 01852-2103
Mailing address
PO Box 412503
Boston, MA 02241-2503
Phone (603) 749-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089532-23 | NH | MD | Advanced Practice Midwife |
| 001972 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Obstetrics-Gynecology Group | Current | Accepting new patients | |
| Lowell Community Health Center, Inc. | Current | Accepting new patients | |
| Highlands Womens Health | Current | Accepting new patients | |
| Lowell Community Health Center, Inc. | Current | Accepting new patients |
Locations
101 Jackson St
Lowell, MA 01852
Phone (978) 459-8656
161 Jackson St
Lowell, MA 01852
Phone (978) 746-7867
601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691
909 Culver Rd
Rochester, NY 14609
Phone (585) 275-7892
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
1000 South Ave
#116
Rochester, NY 14620
Phone (585) 341-6734
500 Red Creek Dr
Ste 210
Rochester, NY 14623
Phone (585) 487-3330
601 Elmwood Ave
#320
Rochester, NY 14642
Interoperability endpoints
- ckern192914@direct.urmc.rochester.edu
- cprivitt46945@direct.ctc.masshiway.net
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1861836652
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1184668311
-
- Community/Retail Pharmacy
- Lowell, MA
- NPI 1295587368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1043869423",
"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": "603-749-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 JACKSON ST",
"city": "LOWELL",
"state": "MA",
"postal_code": "018522103",
"telephone_number": "978-937-9700",
"fax_number": "978-221-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVITT",
"first_name": "CAROLINE",
"middle_name": "KERN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "001972",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "089532-23",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "RN2389145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.