Katrina Adele Wayman, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

057811-23 Issued in NH

Practice address

44 Birch St
Suite 200
Derry, NH 03038-2752

Phone

(603) 421-2526

Fax

(603) 421-2568

NPI assigned

Aug 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katrina Adele Bergevin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

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.

• Parkland Physician Services Inc

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Derry, NH
  • NPI 1740409556
  NPD (past)
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  NPD (past)

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1285880377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-421-2526",
            "fax_number": "603-421-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-421-2526",
            "fax_number": "603-421-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "KATRINA",
        "middle_name": "ADELE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "057811-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3086537",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BERGEVIN",
            "middle_name": "ADELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co
• Martin S Walko, M.D.
• Anne Walsh
• Megan Ann Waring
• Kelley Watkins, APRN
• Judah David Weathers, M.D.
• Jeffrey Peter Wedge, LCMHC, MLADC
• John Francis Welter, DO
• Rebecca Katherine Wessling, PA-C
• Nicole West

• Advanced Practice Midwife in Derry, NH
• Providers in Derry, NH by specialty
• Advanced Practice Midwife in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.