Carmen Smidy, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

153653 Issued in MA

Practice address

473 Sumner Ave
Mercy Care - Forest Park
Springfield, MA 01108-2321

Phone

(413) 886-0410

Fax

(413) 886-0420

NPI assigned

Feb 2, 2006

Sex

Female

Sole proprietor

No

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.

• Riverbend Medical Group, Inc.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1841651197

  MA

  Medicare reassignment NPD
• Riverbend Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1265023154
  NPD
• Diversified Community Services

  • Advanced Practice Midwife
  • Holyoke, MA
  • NPI 1871578880
  NPD (past)
• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  NPD (past)
• Riverbend Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MA
  • NPI 1639280779
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csmidy2389861@direct.trinity-health.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1699747014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "address_2": "MERCY INPATIENT MEDICAL ASSOCIATES",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010210410",
            "telephone_number": "866-662-1606",
            "fax_number": "413-886-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 SUMNER AVE",
            "address_2": "MERCY CARE - FOREST PARK",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082321",
            "telephone_number": "413-886-0410",
            "fax_number": "413-886-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDY",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "153653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353060",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CN0320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry E Slitzky, M.D.
• Mark H Sloan, M.D.
• Novelette J Smallwood
• Justin Smart
• Michelle Smart
• Alizah Kyley Smith, NP
• Alyshia Smith
• Amelia Killough Smith
• Anastasia Smith, CNM
• Barbara Smith

• All providers in Springfield, MA
• Advanced Practice Midwife in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.