Organization Active NPI

September Hill Midwifery

  • Midwife
  • Burdett, NY
National Provider Identifier
1669608030
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
000956 Issued in NY
Legal business name
SEPTEMBER HILL MIDWIFERY
Practice address
3812 Main St
Burdett, NY 14818-9698
Phone
(607) 546-7936
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Ms. Debora Lee Bissonnette, CNMNPI 1245205418
Title
Sole Proprieter/Nurse-Midwife
Phone
(607) 546-7936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 000956 NY Primary

Addresses

Primary practice location

3812 Main St
Burdett, NY 14818-9698

Mailing address

3812 Main St
Burdett, NY 14818-9698
Phone (607) 546-7936

Other identifiers 1

IdentifierTypeStateIssuer
02172374MedicaidNY

National Provider Directory

National Provider Directory

Locations

3812 Main St
Burdett, NY 14818
Phone (607) 546-7936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1669608030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 MAIN ST",
            "city": "BURDETT",
            "state": "NY",
            "postal_code": "148189698",
            "telephone_number": "607-546-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 MAIN ST",
            "city": "BURDETT",
            "state": "NY",
            "postal_code": "148189698",
            "telephone_number": "607-546-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPTEMBER HILL MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "BISSONNETTE",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE PROPRIETER/NURSE-MIDWIFE",
        "authorized_official_telephone_number": "607-546-7936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "NY",
            "license": "000956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burdett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.