Individual provider Active NPI

Catherine A Chase, C.N.M.

  • Advanced Practice Midwife
  • Oak Bluffs, MA
National Provider Identifier
1073517025
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
135841 Issued in MA
Practice address
One Hospital Rd
Oak Bluffs, MA 02557-1477
Phone
(508) 693-0410
Fax
(508) 696-8474
NPI assigned
Jun 8, 2005
Last updated
Oct 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 135841 MA Primary

Addresses

Primary practice location

One Hospital Rd
Oak Bluffs, MA 02557-1477

Mailing address

PO Box 1477
One Hospital Road
Oak Bluffs, MA 02557-1477
Phone (508) 693-0410

Other identifiers 1

IdentifierTypeStateIssuer
0385450MedicaidMA

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
135841MAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1073517025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "address_2": "ONE HOSPITAL ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-696-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL RD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "025571477",
            "telephone_number": "508-693-0410",
            "fax_number": "508-696-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "135841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385450",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Bluffs, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.