Individual provider Active NPI

Kathryn Mulholland

  • Midwife
  • Rhinebeck, NY
National Provider Identifier
1124740477
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F002175-01 Issued in NY
Practice address
6734 Route 9
Rhinebeck, NY 12572-3724
Phone
(845) 231-6157
Fax
(845) 202-6157
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F002175-01 NY Primary

Addresses

Primary practice location

6734 Route 9
Rhinebeck, NY 12572-3724

Mailing address

25 Main St
Kingston, NY 12401-3811
Phone (856) 745-1556

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
I20230411000187 NY Practitioner - Certified Nurse Midwife (CNM) 6800261546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

159 E 53Rd St
New York, NY 10022-4602
Phone (646) 754-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F002175-01NYMDMidwife
002175NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Mar 9, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Mar 9, 2023 Accepting new patients
New York University CurrentSince May 1, 2024 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

111 Broadway
Fl 4
New York, NY 10006
Phone (212) 263-9700

6734 Route 9
Rhinebeck, NY 12572
Phone (845) 876-3202

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: kmulholland646138@nyumc.direct-ci.com

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1124740477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013811",
            "telephone_number": "856-745-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6734 ROUTE 9",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723724",
            "telephone_number": "845-231-6157",
            "fax_number": "845-202-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F002175-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

Verify at the official NPI Registry.