Individual provider Active NPI

Gaelle Amatalie Duvivier, CNM, WHNP

  • Midwife
  • Bronx, NY
National Provider Identifier
1689097032
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
002021 Issued in NY
Practice address
4166A White Plains Rd
Bronx, NY 10466-3020
Phone
(718) 696-6262
Fax
(718) 696-6260
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 679876 NY
Women's Health Nurse Practitioner 363LW0102X 421431 NY
Midwife 176B00000X 002021 NY Primary

Addresses

Primary practice location

4166A White Plains Rd
Bronx, NY 10466-3020

Mailing address

4166A White Plains Rd
Bronx, NY 10466-3020
Phone (718) 696-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002568 NY Order and Referring Only - Nurse Practitioner 9537690714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
679876NYMDRegistered Nurse
002021NYMDMidwife
421431NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Attentive Midwifery P.C. CurrentSince Oct 10, 2021 Accepting new patients

Locations

4166A White Plains Rd
Bronx, NY 10466
Phone (718) 696-6262

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1689097032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663020",
            "telephone_number": "718-696-6262",
            "fax_number": "718-696-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166A WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104663020",
            "telephone_number": "718-696-6262",
            "fax_number": "718-696-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVIVIER",
        "first_name": "GAELLE",
        "middle_name": "AMATALIE",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "679876",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421431",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "002021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.