Organization Active NPI

Maureen Sullivan, Midwife, PLLC

  • Advanced Practice Midwife
  • Oneonta, NY
National Provider Identifier
1275589673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001104-1 Issued in NY
Legal business name
MAUREEN SULLIVAN, MIDWIFE, PLLC
Practice address
22 Academy St
Oneonta, NY 13820-2403
Phone
(607) 433-7255
Fax
(607) 432-0405
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Maureen Sullivan, CNM, MS
Title
Owner
Phone
(607) 433-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X F001104-1 NY Primary

Addresses

Primary practice location

22 Academy St
Oneonta, NY 13820-2403

Mailing address

22 Academy St
Oneonta, NY 13820-2403
Phone (607) 433-7255

Other identifiers 1

IdentifierTypeStateIssuer
02494035MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275589673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ACADEMY ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202403",
            "telephone_number": "607-433-7255",
            "fax_number": "607-432-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ACADEMY ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202403",
            "telephone_number": "607-433-7255",
            "fax_number": "607-432-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN SULLIVAN, MIDWIFE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-433-7255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM, MS"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001104-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02494035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.