Individual provider Active NPI

Vanessa Daou, CNM

  • Advanced Practice Midwife
  • Waterbury, CT
National Provider Identifier
1407120751
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
368 Issued in CT
Practice address
134 Grandview Ave
Suite 210
Waterbury, CT 06708-2507
Phone
(203) 754-2535
Fax
(203) 754-0788
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 368 CT Primary

Addresses

Primary practice location

134 Grandview Ave
Suite 210
Waterbury, CT 06708-2507

Mailing address

134 Grandview Ave
Suite 210
Waterbury, CT 06708-2507
Phone (203) 754-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120413000633 CT Practitioner - Certified Nurse Midwife (CNM) 8527229772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

200 Orchard St
New Haven, CT 06511-5363
Phone (203) 789-3029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Oct 22, 2018 Accepting new patients
Yale University CurrentSince Oct 22, 2018 Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

789 Howard Ave
Bsmt
New Haven, CT 06519
Phone (203) 688-2470

Interoperability endpoints

  • Direct secure messaging: vanessa.daou@xdr.hhchealthdirect.org
  • Direct secure messaging: vanessa.daou.2@10170.direct.athenahealth.com
  • Direct secure messaging: vdaou410143@direct.ynhh.org
  • Direct secure messaging: vdaou@direct.wtbyhosp.org

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1407120751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-754-2535",
            "fax_number": "203-754-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRANDVIEW AVE",
            "address_2": "SUITE 210",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082507",
            "telephone_number": "203-754-2535",
            "fax_number": "203-754-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOU",
        "first_name": "VANESSA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.