Individual provider Active NPI

Amanda Lee Carritte, CNM

  • Advanced Practice Midwife
  • Beverly, MA
National Provider Identifier
1437353539
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
262719 Issued in MA
Practice address
83 Herrick St
Suite 2004
Beverly, MA 01915-2757
Phone
(978) 927-4800
Fax
(978) 232-5772
NPI assigned
Jun 13, 2007
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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 262719 MA Primary

Addresses

Primary practice location

83 Herrick St
Suite 2004
Beverly, MA 01915-2757

Mailing address

83 Herrick St
Suite 2004
Beverly, MA 01915-2757
Phone (978) 927-4800

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
I20130812000011 MA Practitioner - Certified Nurse Midwife (CNM) 8921240516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Univ of Pennsylvania School of Dental Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex County OBGYN Assoc IncGroup PAC ID 6204829062, 26 clinicians

Practice addresses (Care Compare)

140 Commonwealth Ave
Suite 208
Danvers, MA 01923-3625
Phone (978) 927-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262719MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County OBGYN Assoc Inc CurrentSince Jun 3, 2013 Accepting new patients
Essex County OB/GYN Associates PastSince Jun 3, 2013 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients

Locations

83 Herrick St
Ste 2004
Beverly, MA 01915
Phone (978) 927-4800

83 Herrick St
Ste 3002
Beverly, MA 01915
Phone (978) 750-8300

140 Commonwealth Ave
Ste 208
Danvers, MA 01923
Phone (978) 232-5538

Interoperability endpoints

  • Direct secure messaging: acarritte35332@direct.bilh.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1437353539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "SUITE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800",
            "fax_number": "978-232-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "SUITE 2004",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-927-4800",
            "fax_number": "978-232-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRITTE",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "262719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.