Individual provider Active NPI

Kimberly Cherie Mecca, MIDWIFE

  • Advanced Practice Midwife
  • West Seneca, NY
National Provider Identifier
1457325979
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F000302-1 Issued in NY
Practice address
3050 Orchard Park Rd
West Seneca, NY 14224
Phone
(716) 675-5222
Fax
(716) 675-9329
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F000620 NY
Advanced Practice Midwife 367A00000X F000302-1 NY Primary

Addresses

Primary practice location

3050 Orchard Park Rd
West Seneca, NY 14224

Mailing address

3050 Orchard Park Rd
West Seneca, NY 14224
Phone (716) 675-5222

Other identifiers 1

IdentifierTypeStateIssuer
01874762MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110926000057 NY Practitioner - Certified Nurse Midwife (CNM) 3971774803 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000620NYMDBehavioral Analyst
F000302-1NYMDAdvanced Practice Midwife
F000620NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Mar 2, 2020 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
General Physician, PC CurrentSince Jan 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 2, 2020 Accepting new patients
Nurse Midwifery Associates of Western New York, LLP Advanced Practice Midwife Past Accepting new patients

Locations

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

4845 Transit Rd
Depew, NY 14043
Phone (716) 656-2200

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

Interoperability endpoints

  • Direct secure messaging: kmecca20596@direct.chsbuffalo.org

Organizations & group practices 5

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1457325979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECCA",
        "first_name": "KIMBERLY",
        "middle_name": "CHERIE",
        "name_prefix": "Mrs.",
        "credential": "MIDWIFE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000620",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000302-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01874762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.