Kathleen Ann Franklin, CNM

Individual provider Active NPI Advanced Practice Midwife · Polacca, AZ

NPI 1427034693 · NPPES record last updated Jul 16, 2013

Key facts

NPI
1427034693
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
467 (NM)
Practice address
Hwy 264 MPP 388.1
Polacca, AZ 86042
Phone
(928) 737-6000
Fax
(928) 737-6001
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
467NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Santo Domingo Health Clinic Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients
Santa Clara Health Center Past
since Jan 19, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 467 NM Yes

Addresses

Primary practice location

Hwy 264 MPP 388.1
Polacca, AZ 86042

Mailing address

128 Rio Seco St
Santa Fe, NM 87501-1532
Phone (505) 992-1953

Other identifiers

IdentifierTypeStateIssuer
S7936MedicaidNM

Other providers in Polacca, AZ

All providers in Polacca, AZ · Advanced Practice Midwife in Arizona

Sources for this page

Verify at the official NPI Registry.