Active NPI
Karen E Davidson, CNM
- Advanced Practice Midwife
- Danbury, CT
National Provider Identifier
1235243163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000010
- Practice address
- 108 Newtown Road
Candlewood Center for Women'S Health
Danbury, CT 06810 - Phone
- (203) 730-8789
- Fax
- (203) 843-5229
- NPI assigned
- Aug 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000010 | CT | Primary |
Addresses
Primary practice location
108 Newtown Road
Candlewood Center for Women'S Health
Danbury, CT 06810
Mailing address
103 Newtown Road
Candlewood Center for Women'S Health
Danbury, CT 06810
Phone (203) 730-8789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004146941 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000010 | CT | MD | Mental Health Counselor |
| 10 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1235243163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 NEWTOWN ROAD",
"address_2": "CANDLEWOOD CENTER FOR WOMEN'S HEALTH",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-730-8789",
"fax_number": "203-843-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 NEWTOWN ROAD",
"address_2": "CANDLEWOOD CENTER FOR WOMEN'S HEALTH",
"city": "DANBURY",
"state": "CT",
"postal_code": "06810",
"telephone_number": "203-730-8789",
"fax_number": "203-843-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KAREN",
"middle_name": "E",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004146941",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.