Individual provider Active NPI

Ann D. Cerami, CNM

  • Midwife
  • North Andover, MA
National Provider Identifier
1346482403
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
136776 Issued in MA
Practice address
630 Turnpike St
North Andover, MA 01845-6000
Phone
(978) 975-8999
Fax
(978) 975-8979
NPI assigned
Apr 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 136776 MA Primary

Addresses

Primary practice location

630 Turnpike St
North Andover, MA 01845-6000

Mailing address

77 Warren St RM 339
Brighton, MA 02135-3601
Phone (617) 562-5359

Other identifiers 1

IdentifierTypeStateIssuer
0351270MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040903000167 MA Practitioner - Certified Nurse Midwife (CNM) 7012983885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136776MAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Obstetrics and Gynecological Associates, PC CurrentSince Sep 6, 2011 Accepting new patients
River Valley Infectious Disease Specialists Inc. Past Accepting new patients
Valley Regional Medical Services Past Accepting new patients
Seacoast Affiliated Group Practice, Inc. Past Accepting new patients
Steward Medical Group, Inc Past Accepting new patients

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

1 Parkway
Ste 4
Haverhill, MA 01830
Phone (978) 374-6770

Interoperability endpoints

  • Direct secure messaging: ann.cerami@aob.eclinicaldirectplus.com

Organizations & group practices 5

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1346482403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WARREN ST RM 339",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353601",
            "telephone_number": "617-562-5359",
            "fax_number": "617-562-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456000",
            "telephone_number": "978-975-8999",
            "fax_number": "978-975-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAMI",
        "first_name": "ANN",
        "middle_name": "D.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MA",
            "license": "136776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.