Individual provider Active NPI

Gail J Kaphan, APRN

  • Advanced Practice Midwife
  • Springfield, MA
National Provider Identifier
1083778955
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN199067 Issued in MA
Practice address
1985 Main St
Springfield, MA 01103-1095
Phone
(413) 733-6639
NPI assigned
Dec 21, 2006
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 03379423 NH
Advanced Practice Midwife 367A00000X 033794-23-01 NH
Advanced Practice Midwife 367A00000X 03379423 NH
Advanced Practice Midwife 367A00000X RN199067 MA Primary

Addresses

Primary practice location

1985 Main St
Springfield, MA 01103-1095

Mailing address

1985 Main St
Springfield, MA 01103-1095
Phone (413) 733-6639

Other identifiers 1

IdentifierTypeStateIssuer
30344867MedicaidNH

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
03379423NHMDNurse Practitioner
RN199067MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot Professional Services PastSince Mar 25, 2013 Accepting new patients
Elliot Professional Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1083778955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031095",
            "telephone_number": "413-733-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031095",
            "telephone_number": "413-733-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPHAN",
        "first_name": "GAIL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "03379423",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "033794-23-01",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "03379423",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN199067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30344867",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.