Marjorie Kelso, CNM
Individual provider Active NPI Advanced Practice Midwife · Morrisville, VT
NPI 1487746145 · NPPES record last updated Feb 28, 2013
Key facts
- NPI
- 1487746145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 101001033 (VT)
- Practice address
- 530 Washington Highway
8
Morrisville, VT 05661 - Phone
- (802) 888-8100
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101001033 | VT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamoille Health Partners Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 101001033 | VT | Yes |
Addresses
Primary practice location
530 Washington Highway
8
Morrisville, VT 05661
Mailing address
528 Washington Hwy
Morrisville, VT 05661-8973
Phone (802) 888-8338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420001555 | Other | VT | TRAVERLERS MEDICARE |
| 16V120 | Other | VT | MVP |
| 4687201 | Other | VT | VERMOND MANAGED CARE APEX |
| 00039535 | Other | VT | BCBS |
| 0VN1944 | Medicaid | VT | |
| 8000477 | Other | VT | LADIES FIRST |
Other providers in Morrisville, VT
- Stephanie Johnson
- Alexander C. Johnston
- Heather Marie Jones
- John Kaeding
- Kate Donnally Licsw, LLC
- Dana Elizabeth Kennedy
- Audrey Kiely
- Philip G Kiely
- Travis Ryan Knapp Sr.
- Mary Lou Kopas
All providers in Morrisville, VT · Advanced Practice Midwife in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.