Individual provider Active NPI

Karyl Coletti Cargill, CNM

  • Advanced Practice Midwife
  • Reading, MA
National Provider Identifier
1275524571
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
138203 Issued in MA
Practice address
30 Newcrossing Rd
Ell Pond Medical Associates
Reading, MA 01867-3270
Phone
(781) 246-3500
Fax
(781) 246-3555
NPI assigned
Nov 4, 2005
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 138203 MA Primary

Addresses

Primary practice location

30 Newcrossing Rd
Ell Pond Medical Associates
Reading, MA 01867-3270

Mailing address

30 Newcrossing Rd
Ell Pond Medical Associates
Reading, MA 01867-3270
Phone (781) 246-3500

Other identifiers 1

IdentifierTypeStateIssuer
0357448MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138203MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc Advanced Practice Midwife Past Accepting new patients
Hallmark Health Systems Past Accepting new patients

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1275524571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD",
            "address_2": "ELL POND MEDICAL ASSOCIATES",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673270",
            "telephone_number": "781-246-3500",
            "fax_number": "781-246-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NEWCROSSING RD",
            "address_2": "ELL POND MEDICAL ASSOCIATES",
            "city": "READING",
            "state": "MA",
            "postal_code": "018673270",
            "telephone_number": "781-246-3500",
            "fax_number": "781-246-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGILL",
        "first_name": "KARYL",
        "middle_name": "COLETTI",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "138203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357448",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.