Christina M Polesky, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

16.000275 Issued in CT

Practice address

761 Main Ave Ste 200
Norwalk, CT 06851-1080

Phone

(203) 750-7400

Fax

(203) 846-9579

NPI assigned

Jan 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

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.

• Illume Fertility, PLLC

  • Reproductive Endocrinology Physician
  • Norwalk, CT
  • NPI 1013086727
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1447768064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WESTWAY RD",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901458",
            "telephone_number": "203-638-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN AVE STE 200",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068511080",
            "telephone_number": "203-750-7400",
            "fax_number": "203-846-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESKY",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "000612",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "16.000275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Mark Pivor, D.D.S.
• Kathy Ann Pjura, LCSW
• Tania Plaisimond, M.D.
• Planned Parenthood of CT, Inc
• Caroline Platt
• Nicholas V. Polifroni, M.D.
• Michael N Pomarico, DMD
• Alicia Ponticello
• Anthony John Porto, MS, CGC
• Elizabeth Violet Porto, PA-S

• Midwife in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Midwife in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.