Individual provider Active NPI

Samantha Sabola, CNM

  • Advanced Practice Midwife
  • Bloomfield, CT
National Provider Identifier
1639822877
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
510 Issued in CT
Practice address
701 Cottage Grove Rd Ste C110
Bloomfield, CT 06002-3086
Phone
(860) 525-1900
NPI assigned
Jan 28, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM07599 MA
Advanced Practice Midwife 367A00000X 510 CT Primary

Addresses

Primary practice location

701 Cottage Grove Rd Ste C110
Bloomfield, CT 06002-3086

Mailing address

16 Vassar Rd
Feeding Hills, MA 01030-1636

Other practice location 1

16 Vassar Rd
Feeding Hills, MA 01030-1636
Phone (413) 222-0814

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
CNM07599MAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Sisters Midwifery Past Accepting new patients

Organizations & group practices 1

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1639822877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VASSAR RD",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE C110",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023086",
            "telephone_number": "860-525-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Vassar Rd",
            "address_purpose": "LOCATION",
            "city": "Feeding Hills",
            "state": "MA",
            "postal_code": "010301636",
            "country_code": "US",
            "telephone_number": "413-222-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOLA",
        "first_name": "SAMANTHA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MA",
            "license": "CNM07599",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.