Individual provider Active NPI

Caroline Reid, CNM

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1104352491
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001783 Issued in NY
Practice address
140 E 56TH St
New York, NY 10022-3623
Phone
(404) 520-1682
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 724030 NY
Registered Nurse 163W00000X 207996 TN
Registered Nurse 163W00000X 258343 GA
Advanced Practice Midwife 367A00000X 001783 NY Primary

Addresses

Primary practice location

140 E 56TH St
New York, NY 10022-3623

Mailing address

140 E 56TH St
Apartment 3L
New York, NY 10022-3623
Phone (404) 520-1682

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
I20180209001904 NY Practitioner - Certified Nurse Midwife (CNM) 4880954965 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258343GAMDRegistered Nurse
724030NYMDRegistered Nurse
207996TNMDRegistered Nurse
001783NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 27, 2018 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Dec 17, 2017 Accepting new patients
William F. Ryan Community Health Center Inc CurrentSince Dec 17, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 27, 2018 Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

20 E 46th St
Rm 403
New York, NY 10017
Phone (212) 879-4742

Organizations & group practices 5

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1104352491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 56TH ST",
            "address_2": "APARTMENT 3L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223623",
            "telephone_number": "404-520-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223623",
            "telephone_number": "404-520-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "724030",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "207996",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "258343",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.