Individual provider Active NPI

Kathleen F Gauthier, CNM

  • Advanced Practice Midwife
  • Norwich, CT
National Provider Identifier
1265744536
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000340 Issued in CT
Practice address
17 Case St
Norwich, CT 06360-2208
Phone
(860) 886-2461
Fax
(860) 887-8530
NPI assigned
Jul 2, 2010
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 000340 CT Primary

Addresses

Primary practice location

17 Case St
Norwich, CT 06360-2208

Mailing address

17 Case St
Norwich, CT 06360-2208
Phone (860) 886-2461

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
I20151221000371 CT Practitioner - Certified Nurse Midwife (CNM) 2567763303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000340CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathys Breastfeeding Nook Current Accepting new patients
OB-GYN Services, P.C. CurrentSince Sep 13, 2015 Accepting new patients

Locations

17 Case St
Norwich, CT 06360
Phone (860) 886-2461

330 Washington St
Ste 340
Norwich, CT 06360
Phone (860) 889-2909

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1265744536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461",
            "fax_number": "860-887-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602208",
            "telephone_number": "860-886-2461",
            "fax_number": "860-887-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "KATHLEEN",
        "middle_name": "F",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.