Individual provider Active NPI

Caryn Schloss Hanrahan, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1154422830
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN096362 Issued in GA
Practice address
80 Jesse Hill Jr Dr SE # 26105
Grady Health System, GYN/OB Clinic
Atlanta, GA 30303-3031
Phone
(404) 616-4898
Fax
(404) 616-2904
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 RN096362 GA Primary

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE # 26105
Grady Health System, GYN/OB Clinic
Atlanta, GA 30303-3031

Mailing address

69 Jesse Hill Jr Dr SE
Emory University GYN/OB Dept., 4TH Floor
Atlanta, GA 30303-3033
Phone (404) 616-4898

Other identifiers 3

IdentifierTypeStateIssuer
6145OtherACNM CERTIFICATION NUMBER
RN096362OtherGARN LICENSE NUMBER-CNM
00507812AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN096362GAMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154422830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR SE",
            "address_2": "EMORY UNIVERSITY GYN/OB DEPT., 4TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033033",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE # 26105",
            "address_2": "GRADY HEALTH SYSTEM, GYN/OB CLINIC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-4898",
            "fax_number": "404-616-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANRAHAN",
        "first_name": "CARYN",
        "middle_name": "SCHLOSS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN096362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACNM CERTIFICATION NUMBER",
            "identifier": "6145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER-CNM",
            "identifier": "RN096362",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507812A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.