Individual provider Active NPI

Johanna Kate Rizzardini, CNM

  • Advanced Practice Midwife
  • Holyoke, MA
National Provider Identifier
1194908830
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
262088 Issued in MA
Practice address
230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone
(413) 420-2200
Fax
(413) 539-9472
NPI assigned
Dec 17, 2007
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 262088 MA Primary

Addresses

Primary practice location

230 Maple St Ste 1
Holyoke, MA 01040-5140

Mailing address

320 Riverside Drive
Florence, MA 01062
Phone (413) 586-2016

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
I20160106002914 MA Practitioner - Certified Nurse Midwife (CNM) 3971805094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Health Center Inc.Group PAC ID 8527969302, 40 clinicians

Practice addresses (Care Compare)

230 Maple St
Holyoke, MA 01040-5144
Phone (413) 420-2200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. CurrentSince Nov 2, 2015 Accepting new patients
Chicopee Health Center Pharmacy CurrentSince Nov 2, 2015 Accepting new patients
Holyoke Health Center Inc. PastSince Mar 3, 2024 Accepting new patients
Tapestry Health Systems Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

230 Maple St
Holyoke, MA 01040
Phone (413) 322-7380

230 Maple St
Ste 1
Holyoke, MA 01040

Interoperability endpoints

  • Direct secure messaging: jrizzardini20703@direct.ctc.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1194908830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 RIVERSIDE DRIVE",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "01062",
            "telephone_number": "413-586-2016",
            "fax_number": "413-586-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200",
            "fax_number": "413-539-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZARDINI",
        "first_name": "JOHANNA",
        "middle_name": "KATE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "262088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.