Individual provider Active NPI

Katie Jeanne Mansur, CNM

  • Advanced Practice Midwife
  • Wilmington, DE
National Provider Identifier
1316907728
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK-0000143 Issued in DE
Practice address
1508 W 7TH St
Wilmington, DE 19805-3110
Phone
(302) 658-2229
Fax
(302) 658-2382
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010059L PA
Advanced Practice Midwife 367A00000X LK-0000143 DE Primary

Addresses

Primary practice location

1508 W 7TH St
Wilmington, DE 19805-3110

Mailing address

1508 W 7TH St
Wilmington, DE 19805-3110
Phone (302) 658-2229

Other identifiers 2

IdentifierTypeStateIssuer
LK-0000143OtherDENURSE MIDWIFE LICENSE
MW010059LOtherPANURSE MIDWIFE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20141125000832 DE Practitioner - Certified Nurse Midwife (CNM) 4587986799 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LK-0000143DEMDAdvanced Practice Midwife
MW010059LPAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Advanced Practice Midwife CurrentSince Sep 26, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 26, 2019 Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

3521 Silverside Rd
Ste 2L1
Wilmington, DE 19810
Phone (302) 477-1375

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1316907728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W 7TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053110",
            "telephone_number": "302-658-2229",
            "fax_number": "302-658-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W 7TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053110",
            "telephone_number": "302-658-2229",
            "fax_number": "302-658-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSUR",
        "first_name": "KATIE",
        "middle_name": "JEANNE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010059L",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0000143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE MIDWIFE LICENSE",
            "identifier": "LK-0000143",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE MIDWIFE LICENSE",
            "identifier": "MW010059L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.