Individual provider Active NPI

Medea Mindikauri-Burkley, CNM

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1275099145
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001917-1 Issued in NY
Practice address
12 McGuinness Blvd S Apt PH7
Brooklyn, NY 11222-4994
Phone
(718) 838-0000
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001917-1 NY Primary

Addresses

Primary practice location

12 McGuinness Blvd S Apt PH7
Brooklyn, NY 11222-4994

Mailing address

12 McGuinness Blvd S Apt PH7
Brooklyn, NY 11222-4994
Phone (718) 838-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001917NYMDAcupuncturist
F001917-1NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 26, 2023 Accepting new patients
New York University CurrentSince Jul 26, 2023 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mmindikauriburkley517653@nyumc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1275099145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MCGUINNESS BLVD S APT PH7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224994",
            "telephone_number": "718-838-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MCGUINNESS BLVD S APT PH7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224994",
            "telephone_number": "718-838-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDIKAURI-BURKLEY",
        "first_name": "MEDEA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001917-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.