Individual provider Active NPI

Cynthia Marie Smiddy, CNM-APRN

  • Advanced Practice Midwife
  • Derry, NH
National Provider Identifier
1265250898
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
058420-23 Issued in NH
Practice address
17 Worthley Rd
Derry, NH 03038-5120
Phone
(603) 479-4732
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 058420-23 NH Primary
Nurse Practitioner 363L00000X 058420-23 NH

Addresses

Primary practice location

17 Worthley Rd
Derry, NH 03038-5120

Mailing address

17 Worthley Rd
Derry, NH 03038-5120
Phone (603) 479-4732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20250114000876 NH Practitioner - Certified Nurse Midwife (CNM) 4082142302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

168 Kinsley St
Nashua, NH 03060-3634
Phone (603) 598-0455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
058420-23NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Jan 9, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Jan 9, 2025 Accepting new patients
St Joseph Hospital of Nashua NH Past Accepting new patients

Locations

4 Dobson Way
Merrimack, NH 03054
Phone (603) 424-4181

442 Nashua St
Milford, NH 03055
Phone (603) 673-3014

460 Amherst St
Nashua, NH 03063
Phone (603) 577-8400

168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

168 Kinsley St
Ste 20
Nashua, NH 03060
Phone (603) 880-3541

Interoperability endpoints

  • Direct secure messaging: csmiddy1292095@direct.bsmhealth.org

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1265250898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WORTHLEY RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385120",
            "telephone_number": "603-479-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WORTHLEY RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385120",
            "telephone_number": "603-479-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDDY",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CNM-APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "058420-23",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "058420-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.