Kelly Anne Sicoli, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024170125 Issued in VA

Practice address

3400 Brookside Dr
Charlottesville, VA 22901-9566

Phone

(434) 270-6996

Fax

(855) 255-6149

NPI assigned

Feb 10, 2012

Last updated

Feb 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1588937304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BROOKSIDE DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019566",
            "telephone_number": "434-270-6996",
            "fax_number": "855-255-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BROOKSIDE DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229019566",
            "telephone_number": "434-270-6996",
            "fax_number": "855-255-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICOLI",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024170125",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024170125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Shumaker
• Elizabeth Miller Shuman, LCSW
• Mohammed Jamal Shwetar, MD
• Richard Sibert II
• Dianna Sicilia
• Mohammad S Siddiqui, MD
• Rasheed A Siddiqui, MD
• Edward Waters Sidebottom, LPC
• Theodore Siedlecki Jr., PH.D.
• Madeline Sieglinger, PA

• Advanced Practice Midwife in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.