Individual provider Active NPI

Katherine Rochelle Tufts, CNM

  • Advanced Practice Midwife
  • Highland Heights, OH
National Provider Identifier
1669408142
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
02991 Issued in OH
Practice address
5564 Wilson Mills Rd Ste 202
Highland Heights, OH 44143-3265
Phone
(440) 460-5433
Fax
(440) 460-5450
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 02991 OH Primary

Addresses

Primary practice location

5564 Wilson Mills Rd Ste 202
Highland Heights, OH 44143-3265

Mailing address

5564 Wilson Mills Rd Ste 202
Highland Heights, OH 44143-3265
Phone (440) 460-5433

Other identifiers 1

IdentifierTypeStateIssuer
0317008MedicaidOH

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
02991OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1669408142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 202",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-460-5433",
            "fax_number": "440-460-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 WILSON MILLS RD STE 202",
            "city": "HIGHLAND HEIGHTS",
            "state": "OH",
            "postal_code": "441433265",
            "telephone_number": "440-460-5433",
            "fax_number": "440-460-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFTS",
        "first_name": "KATHERINE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "02991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.