Individual provider Active NPI

Lori Ann Antinozzi, CNM

  • Advanced Practice Midwife
  • Havre de Grace, MD
National Provider Identifier
1306120035
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R144664 Issued in MD
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
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 R144664 MD Primary

Addresses

Primary 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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000240 MD Practitioner - Certified Nurse Midwife (CNM) 9032385695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
86.34
Improvement activities
40
Cost
74.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R144664MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna OB-GYN LLC CurrentSince Nov 9, 2011 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Maryland Physicians Edge LLC Advanced Practice Midwife CurrentSince Feb 1, 2026 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

  • Direct secure messaging: lori.antinozzi.1@18404.direct.athenahealth.com

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, 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": "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

Verify at the official NPI Registry.