Active NPI
Kathryn Chilluffo, CNM
- Midwife
- Rome, NY
National Provider Identifier
1508433640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 002328
- Practice address
- 107 E Chestnut St
Rome, NY 13440-2834 - Phone
- (315) 334-9663
- NPI assigned
- Jun 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 718194 | NY | |
| School Registered Nurse | 163WS0200X | 718149 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Midwife | 176B00000X | 002328 | NY | Primary |
Addresses
Primary practice location
107 E Chestnut St
Rome, NY 13440-2834
Mailing address
217 N Caroline St
Herkimer, NY 13350-1718
Phone (315) 717-9494
Other practice location 1
1151 Albany St
Utica, NY 13501-3372
Phone (315) 368-6502
Other practice location 2
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rome | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718194 | NY | MD | Medical-Surgical Registered Nurse |
| 718149 | NY | MD | School Registered Nurse |
| 002328 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1508433640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N CAROLINE ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501718",
"telephone_number": "315-717-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E CHESTNUT ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402834",
"telephone_number": "315-334-9663"
}
],
"practiceLocations": [
{
"address_1": "1151 Albany St",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135013372",
"country_code": "US",
"telephone_number": "315-368-6502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHILLUFFO",
"first_name": "KATHRYN",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "718194",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "718149",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "002328",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rome",
"affiliation": "N",
"endpointDescription": "OB/GYN and Women's Health Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "107 E Chestnut St",
"city": "Rome",
"state": "NY",
"country_code": "US",
"postal_code": "134402834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.