Individual provider Active NPI

Stephanie Sandwich, CNM

  • Advanced Practice Midwife
  • Concord, MA
National Provider Identifier
1053781732
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN2309345 Issued in MA
Practice address
131 Old Road to 9 Acre Cor
Suite 830
Concord, MA 01742-4181
Phone
(978) 371-1396
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2309345 MA
Obstetrics & Gynecology Physician 207V00000X RN2309345 MA
Advanced Practice Midwife 367A00000X RN2309345 MA Primary
Inpatient Obstetric Registered Nurse 163WX0003X 201406612RN OR

Addresses

Primary practice location

131 Old Road to 9 Acre Cor
Suite 830
Concord, MA 01742-4181

Mailing address

131 Old Road to 9 Acre Cor Ste 830
Concord, MA 01742-4191
Phone (978) 371-1396

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
I20170927001674 MA Practitioner - Certified Nurse Midwife (CNM) 4688948870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Oregon Health Sciences University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A.F.a. Obstetrics and Gynecology, P.C.Group PAC ID 6406950542, 14 clinicians

Practice addresses (Care Compare)

131 Ornac
Suite 830
Concord, MA 01742-4191
Phone (978) 371-1396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201406612RNORMDInpatient Obstetric Registered Nurse
RN2309345MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Afa Midwifery, Obstetrics & Gynecology Obstetrics & Gynecology CurrentSince Sep 13, 2017 Accepting new patients
Emerson Hospital Current Accepting new patients

Locations

131 Ornac
Ste 830
Concord, MA 01742
Phone (978) 369-7772

Interoperability endpoints

  • Direct secure messaging: sandwhich.stephanie.epho@direct.partners.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1053781732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR STE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424191",
            "telephone_number": "978-371-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 830",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDWICH",
        "first_name": "STEPHANIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2309345",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "RN2309345",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2309345",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "OR",
            "license": "201406612RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.