Individual provider Active NPI

Pamela S. Haskins, LNM

  • Advanced Practice Midwife
  • Enfield, CT
National Provider Identifier
1093810764
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000169 Issued in CT
Practice address
9 Cranbrook Blvd
2ND Floor
Enfield, CT 06082
Phone
(860) 253-5330
Fax
(860) 253-5331
NPI assigned
Sep 14, 2006
Last updated
Sep 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 000169 CT Primary

Addresses

Primary practice location

9 Cranbrook Blvd
2ND Floor
Enfield, CT 06082

Mailing address

9 Cranbrook Blvd
2ND Floor
Enfield, CT 06082
Phone (860) 253-5330

Other identifiers 1

IdentifierTypeStateIssuer
00422332701MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100823000100 CT Practitioner - Certified Nurse Midwife (CNM) 3476687708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000169CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Advanced Practice Midwife CurrentSince Jan 1, 2003 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2003 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Johnson Professional Associates, PC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

9 Cranbrook Blvd
Enfield, CT 06082
Phone (860) 253-5330

2110 Silas Deane Hwy
Rocky Hill, CT 06067

47 E Main St
Stafford Springs, CT 06076
Phone (860) 684-5848

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1093810764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD",
            "address_2": "2ND FLOOR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-253-5330",
            "fax_number": "860-253-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD",
            "address_2": "2ND FLOOR",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-253-5330",
            "fax_number": "860-253-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "PAMELA",
        "middle_name": "S.",
        "credential": "LNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00422332701",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.