Active NPI
Marianne Terisa Stone, C.N.M.
- Midwife
- New Haven, CT
National Provider Identifier
1053311423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- 100 Church St S
Pob 9740
New Haven, CT 06519-1703 - Phone
- (203) 785-2555
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Primary |
Addresses
Primary practice location
100 Church St S
Pob 9740
New Haven, CT 06519-1703
Mailing address
1720 Diamond Hill Rd
Cumberland, RI 02864-5505
Phone (401) 334-4296
Other names 1
- Ms. Marianne Terisa Stone
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000263 | CT | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364256000000",
"number": "1053311423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 DIAMOND HILL RD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028645505",
"telephone_number": "401-334-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH ST S",
"address_2": "POB 9740",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191703",
"telephone_number": "203-785-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "MARIANNE",
"middle_name": "TERISA",
"name_prefix": "Ms.",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2013-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "STONE",
"middle_name": "TERISA",
"prefix": "MS.",
"credential": "CNM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.