Individual provider Active NPI

Jillian D'Eramo, CNM

  • Advanced Practice Midwife
  • Hartford, CT
National Provider Identifier
1831601434
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
425000 Issued in CT
Practice address
85 Seymour St Ste 1019
Hartford, CT 06106
Phone
(860) 246-4029
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 12177348 CT
Advanced Practice Midwife 367A00000X 425000 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 1019
Hartford, CT 06106

Mailing address

18 Rocky Wood Dr
Sandy Hook, CT 06482-1479
Phone (203) 313-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20180112001278 CT Practitioner - Certified Nurse Midwife (CNM) 6103185426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

533 Cottage Grove Rd
Bloomfield, CT 06002-3155
Phone (860) 258-3480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12177348CTMDMidwife
425000CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC Advanced Practice Midwife CurrentSince Jan 1, 2018 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2018 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

85 Seymour St
Ste 1019
Hartford, CT 06106
Phone (860) 246-4029

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: jillian.d'eramo@xdr.hhchealthdirect.org

Organizations & group practices 4

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": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1831601434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ROCKY WOOD DR",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821479",
            "telephone_number": "203-313-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 1019",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-246-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ERAMO",
        "first_name": "JILLIAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "12177348",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "425000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.