Active NPI
Kathryn Anne Wood Calvillo, CNM
- Advanced Practice Midwife
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236017
- Practice address
- 4414 Lake Boone TRL Ste 300
Raleigh, NC 27607-7514 - Phone
- (919) 781-5510
- NPI assigned
- Dec 4, 2006
- Last updated
- Jun 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 271987 | MA | |
| Advanced Practice Midwife | 367A00000X | 236017 | NC | Primary |
Addresses
Primary practice location
4414 Lake Boone TRL Ste 300
Raleigh, NC 27607-7514
Mailing address
4414 Lake Boone TRL Ste 300
Raleigh, NC 27607-7514
Phone (919) 781-5510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 New Waverly PL
Suite 310
Cary, NC 27518-7404
Phone (919) 678-6900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.25 of 100
- Quality
- 82.32
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457 | NC | MD | Podiatrist |
| 271987 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Baystate Medical Practices, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Whap, PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
600 New Waverly Pl
Ste 310
Cary, NC 27518
Phone (919) 678-6900
200 Perimeter Park Dr
Ste B
Morrisville, NC 27560
Phone (919) 334-0150
4414 Lake Boone Trl
Ste 300
Raleigh, NC 27607
Phone (919) 781-5510
1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632
Interoperability endpoints
- kathryn.calvillo.2@7773.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
dba Lyndhurst Gynecologic Associates
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1649261785
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1265590426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077514",
"telephone_number": "919-781-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 LAKE BOONE TRL STE 300",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077514",
"telephone_number": "919-781-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVILLO",
"first_name": "KATHRYN ANNE",
"middle_name": "WOOD",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "271987",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "236017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.