Active NPI
Amy Susan Kranick, CNM
- Advanced Practice Midwife
- Bennington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 101-0025239
- Practice address
- 140 Hospital Dr
Suite 306
Bennington, VT 05201-5009 - Phone
- (802) 447-2677
- Fax
- (802) 447-7710
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 101-0025239 | VT | Primary |
Addresses
Primary practice location
140 Hospital Dr
Suite 306
Bennington, VT 05201-5009
Mailing address
140 Hospital Dr
Suite 306
Bennington, VT 05201-5009
Phone (802) 447-2677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010650 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwestern Vermont Medical Center, Inc
Practice addresses (Care Compare)
140 Hospital Dr
Suite 301
Bennington, VT 05201-5018
Phone (802) 447-5317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101-0025239 | VT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients |
Locations
100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
140 Hospital Dr
Ste 205
Bennington, VT 05201
Phone (802) 447-2677
140 Hospital Dr
Ste 301
Bennington, VT 05201
Phone (802) 442-3022
140 Hospital Dr
Ste 306
Bennington, VT 05201
Phone (802) 447-2677
Interoperability endpoints
- amy.kranick.1@3744.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1114037231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015009",
"telephone_number": "802-447-2677",
"fax_number": "802-447-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052015009",
"telephone_number": "802-447-2677",
"fax_number": "802-447-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANICK",
"first_name": "AMY",
"middle_name": "SUSAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VT",
"license": "101-0025239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010650",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.