Selene Kirtella Henry-Lake, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

F001457 Issued in NY

Practice address

1978 Crompond Rd Ste 102
Cortlandt Manor, NY 10567-4114

Phone

(914) 736-6180

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Westchester Medical Practice PCGroup PAC ID 9335238732, 198 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• The Westchester Medical Practice, PC

  dba NewYork-Presbyterian Medical Group/Hudson Valley

  • Specialist
  • Yorktown Heights, NY
  • NPI 1225222953
  Medicare reassignment Care Compare group NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Cumberland Diagnostic & Treatment Center

  • Clinic/Center
  • Brooklyn, NY
  • NPI 1356406136
  NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• The Westchester Medical Practice, PC

  dba Newyork-Presbyterian Medical Group/Hudson Valley

  • Multi-Specialty Clinic/Center
  • Cortlandt Manor, NY
  • NPI 1982109120
  NPD
• Hudson Valley Hospital Center

  • General Acute Care Hospital
  • Cortlandt Manor, NY
  • NPI 1881659274
  NPD (past)

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

• Hudson Valley Hospital Center

  • General Acute Care Hospital
  • Cortlandt Manor, NY
  • NPI 1881659274
  Care Compare affiliation

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1346506797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD STE 102",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674114",
            "telephone_number": "914-736-6180",
            "fax_number": "914-736-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 CROMPOND RD STE 102",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674114",
            "telephone_number": "914-736-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY-LAKE",
        "first_name": "SELENE",
        "middle_name": "KIRTELLA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1978 Crompond Rd Ste 102",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "1978 Crompond Rd Ste 102",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kih9003@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "1978 Crompond Rd Ste 102",
            "city": "Cortlandt Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105674114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann E Hanley, MD
• Sherrie E Hauser, RN
• Rachel Heater, LMFT
• Tracy Bohn Hemmerdinger, M.D.
• Hendrick Hudson School District
• Anabel Hernandez
• Mark Howard Hittman, MD
• Julianne Yun Hwei Ho, PA-C
• Lloyd Ray Hoffman, M.D.
• Jennifer L Holdman, MS, CCC-SLP

• Midwife in Cortlandt Manor, NY
• Providers in Cortlandt Manor, NY by specialty
• Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.

Verify at the official NPI Registry.