Individual provider Active NPI

Barbara Ellen Teich-Visco, CNM

  • Advanced Practice Midwife
  • Syracuse, NY
National Provider Identifier
1093939035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000705-1 Issued in NY
Practice address
421 Montgomery St FL 9
Syracuse, NY 13202-2923
Phone
(315) 435-3295
Fax
(315) 435-8242
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F000705-1 NY Primary

Addresses

Primary practice location

421 Montgomery St FL 9
Syracuse, NY 13202-2923

Mailing address

421 Montgomery St FL 9
Syracuse, NY 13202-2923
Phone (315) 435-3295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160913001581 NY Practitioner - Certified Nurse Midwife (CNM) 0345536629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cathy J. Berry, M.D., P.C.Group PAC ID 1052333606, 5 clinicians

Practice addresses (Care Compare)

101 Pine St
Syracuse, NY 13210-1149
Phone (315) 422-8105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000705NYMDPsychoanalysis Psychologist
F000705-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince May 1, 2022 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince May 1, 2022 Accepting new patients
Cathy J. Berry, M.D., P.C. CurrentSince Jan 7, 2023 Accepting new patients
Allara Medical Group PA PastSince Jan 7, 2023 Accepting new patients

Locations

101 Pine St
Syracuse, NY 13210
Phone (315) 422-8105

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • Direct secure messaging: bteichvisco@cathyjberrymd.medentdirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093939035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST FL 9",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-3295",
            "fax_number": "315-435-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MONTGOMERY ST FL 9",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022923",
            "telephone_number": "315-435-3295",
            "fax_number": "315-435-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH-VISCO",
        "first_name": "BARBARA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.