Individual provider Active NPI

Pamela Allison Rutherford, CNM

  • Midwife
  • Hyannis, MA
National Provider Identifier
1184482465
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN10006314
Practice address
43 Lewis Bay Rd
Hyannis, MA 02601-5235
Phone
(774) 552-6050
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN10006314 Primary

Addresses

Primary practice location

43 Lewis Bay Rd
Hyannis, MA 02601-5235

Mailing address

27 Park St
Hyannis, MA 02601-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240711001066 MA Practitioner - Certified Nurse Midwife (CNM) 5294270526 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 17, 2024 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Jul 17, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 17, 2024 Accepting new patients

Locations

1 Trowbridge Rd
Ste 100
Bourne, MA 02532
Phone (508) 743-0314

90 Ter Heun Dr
Ste 200
Falmouth, MA 02540
Phone (508) 457-0088

90 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-0088

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

Organizations & group practices 3

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1184482465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LEWIS BAY RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015235",
            "telephone_number": "774-552-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "PAMELA",
        "middle_name": "ALLISON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "RN10006314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.