Individual provider Active NPI

Amie E. Kennedy, CNM

  • Advanced Practice Midwife
  • Lewisburg, PA
National Provider Identifier
1063471308
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008401L Issued in PA
Practice address
3 Hospital Dr
Suite 312
Lewisburg, PA 17837-9362
Phone
(570) 523-8700
Fax
(570) 523-8705
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW008401L PA Primary
Advanced Practice Midwife 367A00000X 1010014447 VT
Advanced Practice Midwife 367A00000X 001395 NY

Addresses

Primary practice location

3 Hospital Dr
Suite 312
Lewisburg, PA 17837-9362

Mailing address

3 Hospital Dr
Suite 312
Lewisburg, PA 17837-9362
Phone (570) 523-8700

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

LicenseStateTypeSpecialty
001395NYMDAudiologist
MW008401LPAMDAdvanced Practice Midwife
1010014447VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Ithaca, LLP Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1063471308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR",
            "address_2": "SUITE 312",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379362",
            "telephone_number": "570-523-8700",
            "fax_number": "570-523-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR",
            "address_2": "SUITE 312",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379362",
            "telephone_number": "570-523-8700",
            "fax_number": "570-523-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AMIE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008401L",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010014447",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001395",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.