Penelope Patch, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1010016283 Issued in VT

Practice address

530 Washington Hwy
Morrisville, VT 05661-8715

Phone

(802) 888-8100

NPI assigned

Oct 13, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Lamoille Health Partners Inc.

  • Federally Qualified Health Center (FQHC)
  • Cambridge, VT
  • NPI 1538945001
  NPD (past)
• Planned Parenthood of Northern New England, Inc

  • Obstetrics & Gynecology Physician
  • Colchester, VT
  • NPI 1578529350
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427148154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618715",
            "telephone_number": "802-888-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WASHINGTON HWY",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618715",
            "telephone_number": "802-888-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "PENELOPE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010016283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADIESFIRST",
            "identifier": "8000746",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00049498",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007364",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie L Olsen
• Ashley Paquette
• Alyson Paradee, LICSW
• Colleen Marie Parker, MD
• Danielle Passalacqua, MA
• Patricia J. Schricker, DC, PC
• Geneva L. Pedersen, APRN, FNP
• Elizabeth Zumwalt Perez, MD
• Personalized PT, PC
• Jennifer B Peters, M.D.

• Advanced Practice Midwife in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Advanced Practice Midwife in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.