Individual provider Active NPI

Christina Fantoni, MSN, CNM

  • Advanced Practice Midwife
  • Old Saybrook, CT
National Provider Identifier
1194727404
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000179 Issued in CT
Practice address
263 Main St
Old Saybrook, CT 06475-2326
Phone
(860) 388-8445
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 000662-1 NY
Advanced Practice Midwife 367A00000X 000179 CT Primary

Addresses

Primary practice location

263 Main St
Old Saybrook, CT 06475-2326

Mailing address

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 752-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050413000523 CT Practitioner - Certified Nurse Midwife (CNM) 9133107956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Perelman School of Med at the University of Pennsylvania, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

122 Maple St
Bristol, CT 06010-5093
Phone (860) 583-1800

863 N Main St Ext
301 The Womens Center of Southern New E
Wallingford, CT 06492-2434
Phone (203) 269-0885

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
000662-1NYMDMidwife
000179CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England, Inc. CurrentSince Oct 1, 2004 Accepting new patients
Physicians for Women'S Health LLC Advanced Practice Midwife CurrentSince May 1, 2023 Accepting new patients

Locations

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

435 Lewis Ave
Ste 212
Meriden, CT 06451
Phone (203) 238-0519

955 S Main St
Ste B101
Middletown, CT 06457

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

467 Ocean Ave
New London, CT 06320
Phone (860) 228-3888

263 Main St
Old Saybrook, CT 06475
Phone (860) 388-4459

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

2600 Tamarack Ave
#200
South Windsor, CT 06074
Phone (860) 646-1157

98 Main St
Ste 301
Southington, CT 06489
Phone (860) 621-6704

863 N Main Street Ext
Ste 301
Wallingford, CT 06492
Phone (203) 269-0885

Interoperability endpoints

  • Direct secure messaging: cfantoni71874@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: christina.fantoni.1@10170.direct.athenahealth.com

Organizations & group practices 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1194727404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112348",
            "telephone_number": "203-752-2856",
            "fax_number": "203-752-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752326",
            "telephone_number": "860-388-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTONI",
        "first_name": "CHRISTINA",
        "credential": "MSN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "000662-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.