Individual provider Active NPI

Cathie F Miller, CNM

  • Advanced Practice Midwife
  • Shelton, CT
National Provider Identifier
1194911586
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
00046 Issued in CT
Practice address
2 Ivy Brook Rd Ste 125
Shelton, CT 06484-6416
Phone
(203) 954-0080
Fax
(203) 954-0084
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 00046 CT Primary

Addresses

Primary practice location

2 Ivy Brook Rd Ste 125
Shelton, CT 06484-6416

Mailing address

67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1256

Other names 1

  • Cathie Fuller Former name

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
I20190426001166 CT Practitioner - Certified Nurse Midwife (CNM) 5890037691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Yale University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Faculty Physicians IncGroup PAC ID 7618871997, 125 clinicians

Practice addresses (Care Compare)

2 Ivy Brook Rd
Suite 115
Shelton, CT 06484-6416
Phone (203) 924-5540

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00046CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Faculty Physicians, Inc. CurrentSince Jul 1, 2019 Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

2 Ivy Brook Rd
Ste 111
Shelton, CT 06484
Phone (203) 516-5303

2 Ivy Brook Rd
Ste 115
Shelton, CT 06484
Phone (203) 954-0080

2 Ivy Brook Rd
Ste 125
Shelton, CT 06484
Phone (203) 954-0080

Interoperability endpoints

  • Direct secure messaging: cathie.miller.1@1323.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1194911586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328",
            "telephone_number": "203-732-1256",
            "fax_number": "203-732-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD STE 125",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-954-0080",
            "fax_number": "203-954-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CATHIE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "00046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHIE",
            "last_name": "FULLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.