Active NPI
Kathleen L Hausman, CNM
- Advanced Practice Midwife
- Newark, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 001003
- Practice address
- 1250 Driving Park Ave
Newark, NY 14513-1057 - Phone
- (315) 332-2427
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 18, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R872773 | MS | |
| Advanced Practice Midwife | 367A00000X | 101.0134715 | VT | |
| Advanced Practice Midwife | 367A00000X | 001003 | NY | Primary |
Addresses
Primary practice location
1250 Driving Park Ave
Newark, NY 14513-1057
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900
Other practice location 1
1315 Hospital Dr
St Johnsbury, VT 05819-9210
Phone (802) 748-7300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125792 | Medicaid | NH | |
| 6705638 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice, P.C. | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Newark Wayne Community Hospital | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Clifton Springs Sanitarium Company | Past | Accepting new patients |
Locations
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170
1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
2000 Empire Blvd
Ste 200
Webster, NY 14580
Phone (585) 671-0860
Interoperability endpoints
- khausman33989@direct.rochesterregional.org
Organizations & group practices 9
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.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Newark, NY
- NPI 1770671182
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Newark, NY
- NPI 1346369212
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
-
- General Practice Physician
- Geneva, NY
- NPI 1326446485
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1730585522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1154421261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KINGS HWY S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146175504",
"telephone_number": "585-922-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 DRIVING PARK AVE",
"city": "NEWARK",
"state": "NY",
"postal_code": "145131057",
"telephone_number": "315-332-2427"
}
],
"practiceLocations": [
{
"address_1": "1315 Hospital Dr",
"address_purpose": "LOCATION",
"city": "St Johnsbury",
"state": "VT",
"postal_code": "058199210",
"country_code": "US",
"telephone_number": "802-748-7300",
"fax_number": "802-748-7321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUSMAN",
"first_name": "KATHLEEN",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MS",
"license": "R872773",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VT",
"license": "101.0134715",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "001003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3125792",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6705638",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.