Kathryn Marie Shantz, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

72000098A Issued in IN

Practice address

60728 County Road 27
Goshen, IN 46528-6638

Phone

(574) 535-3501

Fax

(260) 768-7765

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275622417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60728 COUNTY ROAD 27",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465286638",
            "telephone_number": "574-534-5315",
            "fax_number": "574-534-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60728 COUNTY ROAD 27",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465286638",
            "telephone_number": "574-535-3501",
            "fax_number": "260-768-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTZ",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000098A",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704219087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Selvesyuk
• Amy Elizabeth Seng, NP-C
• Susan Miller Setiawan, NP-C
• Nicole Marie Shambarger
• Jordyn Shanholt
• Elise Sharkey, PA-C
• Melanie Shaw, APN
• Colleen A Shay, NP
• Kimberly Sheeley, DPT
• Heather R Shelley, LCSW

• Advanced Practice Midwife in Goshen, IN
• Providers in Goshen, IN by specialty
• Advanced Practice Midwife in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.