Active NPI
Tina Cathelyn, CNM
- Midwife
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 209-013475
- Practice address
- 1106 4TH Ave
Moline, IL 61265-1231 - Phone
- (563) 336-3000
- Fax
- (563) 327-2045
- NPI assigned
- Nov 17, 2015
- Last updated
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 209-013475 | IL | Primary |
Addresses
Primary practice location
1106 4TH Ave
Moline, IL 61265-1231
Mailing address
500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL | |
| PENDING | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Cincinnati College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 7TH St
Moline, IL 61265-6866
Phone (309) 762-9800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.74 of 100
- Quality
- 78.19
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-013475 | IL | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Medical Arts Associates, LTD. | Current | Accepting new patients |
Locations
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
4300 7th St
Moline, IL 61265
Phone (309) 762-9800
600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200
Interoperability endpoints
- tcathelyn106487@direct.unitypoint.org
Organizations & group practices 3
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.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
IL
-
- Internal Medicine Physician
- Moline, IL
- NPI 1396724183
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447718400000",
"number": "1790159515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W RIVER DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011014",
"telephone_number": "563-336-3000",
"fax_number": "563-327-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 4TH AVE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651231",
"telephone_number": "563-336-3000",
"fax_number": "563-327-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATHELYN",
"first_name": "TINA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "IL",
"license": "209-013475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.