Individual provider Active NPI

Anita Marie Onofrio, CNM

  • Advanced Practice Midwife
  • Lebanon, NH
National Provider Identifier
1528169984
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
025013-23 Issued in NH
Practice address
31 Hanover St
Lebanon, NH 03766-1357
Phone
(603) 413-0394
Fax
(603) 413-0394
NPI assigned
Sep 26, 2006
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 025013-23 NH
Advanced Practice Midwife 367A00000X 1010014619 VT
Advanced Practice Midwife 367A00000X 025013-23 NH Primary

Addresses

Primary practice location

31 Hanover St
Lebanon, NH 03766-1357

Mailing address

148 Van Dyke Rd
Strafford, VT 05072-9785
Phone (802) 765-4507

Other identifiers 1

IdentifierTypeStateIssuer
3098195MedicaidNH

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
025013-23NHMDPsychiatric/Mental Health Nurse Practitioner
1010014619VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Past Accepting new patients
Full Circle Women's Health, PC Advanced Practice Midwife Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1528169984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 VAN DYKE RD",
            "city": "STRAFFORD",
            "state": "VT",
            "postal_code": "050729785",
            "telephone_number": "802-765-4507",
            "fax_number": "802-763-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HANOVER ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661357",
            "telephone_number": "603-413-0394",
            "fax_number": "603-413-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOFRIO",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "025013-23",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "1010014619",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "025013-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098195",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.