NPIMap

Individual provider Active NPI

Kimberly O Drakes, LNM

  • Advanced Practice Midwife
  • Southington, CT
National Provider Identifier
1316373665
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
000285 Issued in CT
Practice address
1131 West St
BLDG 2
Southington, CT 06489-6006
Phone
(860) 276-6800
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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 000285 CT Primary

Addresses

Primary practice location

1131 West St
BLDG 2
Southington, CT 06489-6006

Mailing address

1131 West St
BLDG 2
Southington, CT 06489-6006
Phone (860) 276-6800

Other identifiers 1

IdentifierTypeStateIssuer
000285OtherLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017000557 CT Practitioner - Certified Nurse Midwife (CNM) 4880828284 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

114 Woodland St
Hartford, CT 06105-1208

47 Palomba Dr
Enfield, CT 06082-3847
Phone (860) 714-6980

476 Cromwell Ave
Rocky Hill, CT 06067-1806
Phone (860) 714-4548

8 Two Mile Rd
Suite 204
Farmington, CT 06032-2559
Phone (860) 507-1550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2016 Accepting new patients
Wheeler Clinic Inc CurrentSince Dec 16, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Apr 25, 2016 Accepting new patients
Wheeler Clinic Inc CurrentSince Dec 16, 2019 Accepting new patients
Hartford Healthcare Laboratories Past Accepting new patients
Women's Health of Central Ma. PC Past Accepting new patients
Mercy Medical Group, Inc. Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

856 Cromwell Ave
Unit B
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: kimberly.drakes.1@10170.direct.athenahealth.com
  • Direct secure messaging: kimberly.drakes.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: kdrakes2387907@direct.trinity-health.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1316373665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 WEST ST",
            "address_2": "BLDG 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-276-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WEST ST",
            "address_2": "BLDG 2",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896006",
            "telephone_number": "860-276-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKES",
        "first_name": "KIMBERLY",
        "middle_name": "O",
        "credential": "LNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "000285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.