Individual provider Active NPI

Kathryn Anne Wood Calvillo, CNM

  • Advanced Practice Midwife
  • Raleigh, NC
National Provider Identifier
1265590426
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236017 Issued in NC
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128000002 NC Practitioner - Certified Nurse Midwife (CNM) 9537169776 Reassigns benefits to 1 organization

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
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
457NCMDPodiatrist
271987MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Dec 5, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.