Active NPI
Lori Ann Antinozzi, CNM
- Advanced Practice Midwife
- Havre de Grace, MD
National Provider Identifier
1306120035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R144664
- Practice address
- 308 N Union Ave
Havre de Grace, MD 21078-2825 - Phone
- (410) 939-4159
- Fax
- (410) 939-9411
- NPI assigned
- Sep 29, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
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- NPI 1972922920
Advanced Practice Midwife, MD
-
- Clinical Medical Laboratory
- Beltsville, MD
- NPI 1700572518
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.69 of 100
- Quality
- 86.34
- Improvement activities
- 40
- Cost
- 74.99
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120103000240 | MD | Practitioner - Certified Nurse Midwife (CNM) | 9032385695 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Physicians Edge LLC | Current | Accepting new patients | |
| Susquehanna OB-GYN LLC | Current | Accepting new patients | |
| Maryland Physicians Edge LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Upper Chesapeake Medical Center, Inc. | Past | Accepting new patients |
Locations
520 Upper Chesapeake Dr
Ste 301
Bel Air, MD 21014
Phone (410) 643-4300
308 N Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-3121
Interoperability endpoints
- lori.antinozzi.1@18404.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R144664 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
308 N Union Ave
Havre de Grace, MD 21078-2825
Mailing address
308 N Union Ave
Havre de Grace, MD 21078-2825
Phone (410) 939-4159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2011.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1306120035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N UNION AVE",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782825",
"telephone_number": "410-939-4159",
"fax_number": "410-939-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N UNION AVE",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210782825",
"telephone_number": "410-939-4159",
"fax_number": "410-939-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTINOZZI",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R144664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.