Individual provider Active NPI

Cheryl M Kitchel, CNM

  • Midwife
  • Valdosta, GA
National Provider Identifier
1275548950
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
RN161846 Issued in GA
Practice address
3811 Old US Highway 41 N
Valdosta, GA 31602-6807
Phone
(229) 333-0277
Fax
(229) 241-1608
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X RN161846 GA Primary

Addresses

Primary practice location

3811 Old US Highway 41 N
Valdosta, GA 31602-6807

Mailing address

PO Box 2130
Valdosta, GA 31604-2130
Phone (229) 333-0277

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN161846GAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Womens Health Center PC Past Accepting new patients

Organizations & group practices 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1275548950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2130",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316042130",
            "telephone_number": "229-333-0277",
            "fax_number": "229-241-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OLD US HIGHWAY 41 N",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026807",
            "telephone_number": "229-333-0277",
            "fax_number": "229-241-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEL",
        "first_name": "CHERYL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN161846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.