Active NPI
Jennifer Deoliveira-Souza, CNM
- Advanced Practice Midwife
- Somerville, MA
National Provider Identifier
1629619523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM05848
- Practice address
- 104 Glenwood Rd
Somerville, MA 02145-2606 - Phone
- (617) 388-1071
- NPI assigned
- Oct 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2296735 | MA | |
| Advanced Practice Midwife | 367A00000X | CNM05848 | MA | Primary |
Addresses
Primary practice location
104 Glenwood Rd
Somerville, MA 02145-2606
Mailing address
104 Glenwood Rd
Somerville, MA 02145-2606
Phone (617) 388-1071
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 |
|---|---|---|---|
| RN2296735 | MA | MD | Registered Nurse |
| CNM05848 | MA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1629619523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 GLENWOOD RD",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021452606",
"telephone_number": "617-388-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 GLENWOOD RD",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021452606",
"telephone_number": "617-388-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOLIVEIRA-SOUZA",
"first_name": "JENNIFER",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2296735",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MA",
"license": "CNM05848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.