Individual provider Active NPI

Ellen Cady Putnam, CNM

  • Advanced Practice Midwife
  • Florence, MA
National Provider Identifier
1306066477
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
193483 Issued in MA
Practice address
190 Nonotuck St
Northampton OBGYN
Florence, MA 01062-1911
Phone
(413) 586-9866
Fax
(413) 585-0070
NPI assigned
Apr 30, 2007
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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 193483 MA Primary

Addresses

Primary practice location

190 Nonotuck St
Northampton OBGYN
Florence, MA 01062-1911

Mailing address

190 Nonotuck St
Northampton OBGYN
Florence, MA 01062-1911
Phone (413) 586-9866

Other identifiers 1

IdentifierTypeStateIssuer
CN0125OtherMABLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000710 MA Practitioner - Certified Nurse Midwife (CNM) 7113934761 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Mar 7, 2010 Accepting new patients
CD Practice Associates, Inc. Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

Organizations & group practices 3

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1306066477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NONOTUCK ST",
            "address_2": "NORTHAMPTON OBGYN",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621911",
            "telephone_number": "413-586-9866",
            "fax_number": "413-585-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NONOTUCK ST",
            "address_2": "NORTHAMPTON OBGYN",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621911",
            "telephone_number": "413-586-9866",
            "fax_number": "413-585-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ELLEN",
        "middle_name": "CADY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "193483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "CN0125",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.