Individual provider Active NPI

Beth Crosby Kriegsman, CNM

  • Advanced Practice Midwife
  • Southampton, NY
National Provider Identifier
1801866884
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F0001287 Issued in NY
Practice address
595 Hampton Rd
Southampton, NY 11968-3004
Phone
(631) 675-2125
Fax
(631) 675-2624
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN1005203 DC
Advanced Practice Midwife 367A00000X F0001287 NY Primary

Addresses

Primary practice location

595 Hampton Rd
Southampton, NY 11968-3004

Mailing address

45 Research Way
Suite 105
East Setauket, NY 11733-6401
Phone (631) 675-2125

Other identifiers 2

IdentifierTypeStateIssuer
010196884MedicaidDC
407066600MedicaidMD

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
001287NYMDMental Health Counselor
RN1005203DCMDAdvanced Practice Midwife
F0001287NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Gynecology & Obstetrics, P.C. Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1801866884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESEARCH WAY",
            "address_2": "SUITE 105",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117336401",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 HAMPTON RD",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119683004",
            "telephone_number": "631-675-2125",
            "fax_number": "631-675-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGSMAN",
        "first_name": "BETH",
        "middle_name": "CROSBY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1005203",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F0001287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196884",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407066600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.