Individual provider Active NPI

Kathryn Chilluffo, CNM

  • Midwife
  • Rome, NY
National Provider Identifier
1508433640
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
002328 Issued in NY
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

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
718194NYMDMedical-Surgical Registered Nurse
718149NYMDSchool Registered Nurse
002328NYMDAthletic 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.

Verify at the official NPI Registry.