Active NPI
Gina M Quinlivan
- Advanced Practice Midwife
- East Longmeadow, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 195514
- Practice address
- 382 N Main St Ste 205
East Longmeadow, MA 01028 - Phone
- (134) 794-8484
- Fax
- (413) 794-5910
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 195514 | MA | Primary |
Addresses
Primary practice location
382 N Main St Ste 205
East Longmeadow, MA 01028
Mailing address
382 N Main St
Ste 205
E Longmeadow, MA 01028-1830
Phone (508) 882-3141
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Dwight Rd
Suite 201
Longmeadow, MA 01106-1765
Phone (413) 794-8484
470 Granby Rd
South Hadley, MA 01075-3222
Phone (413) 533-7200
Hospital & facility affiliations
- Baystate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195514 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate OB/GYN Group Inc | Current | Accepting new patients |
Locations
382 N Main St
Ste 205
East Longmeadow, MA 01028
Phone (413) 525-5244
470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926
Interoperability endpoints
- https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
- gina.quinlivan.1@12089.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Springfield, MA
- NPI 1366542342
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1053468629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 N MAIN ST",
"address_2": "STE 205",
"city": "E LONGMEADOW",
"state": "MA",
"postal_code": "010281830",
"telephone_number": "508-882-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 N MAIN ST STE 205",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "01028",
"telephone_number": "134-794-8484",
"fax_number": "413-794-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINLIVAN",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "195514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.