Active NPI
Stephanie Mandani, CNM
- Advanced Practice Midwife
- Somersworth, NH
National Provider Identifier
1164913455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 077929-23
- Practice address
- 311 Route 108
Somersworth, NH 03878-1522 - Phone
- (603) 749-2346
- NPI assigned
- May 23, 2018
- Last updated
- Mar 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | |||
| Advanced Practice Midwife | 367A00000X | 077929-23 | NH | Primary |
Addresses
Primary practice location
311 Route 108
Somersworth, NH 03878-1522
Mailing address
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963
Other practice location 1
15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113206 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Seacoast Community Health | Current | Accepting new patients |
Locations
311 Route 108
Somersworth, NH 03878
Phone (603) 422-8208
Organizations & group practices 1
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 Goodwin Community Health
- Federally Qualified Health Center (FQHC)
- Somersworth, NH
- NPI 1578854287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1164913455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 OLD ROLLINSFORD RD STE 102",
"city": "DOVER",
"state": "NH",
"postal_code": "038202869",
"telephone_number": "603-749-4963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 ROUTE 108",
"city": "SOMERSWORTH",
"state": "NH",
"postal_code": "038781522",
"telephone_number": "603-749-2346"
}
],
"practiceLocations": [
{
"address_1": "15 Old Rollinsford Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NH",
"postal_code": "038202869",
"country_code": "US",
"telephone_number": "603-749-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDANI",
"first_name": "STEPHANIE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "077929-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3113206",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somersworth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.