Active NPI
Elizabeth A. Mandel, MSN, CNM
- Advanced Practice Midwife
- Hartford, CT
National Provider Identifier
1861455073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000226
- Practice address
- 80 Seymour Street
Hartford Hospital OB/GYN Dept
Hartford, CT 06102-5037 - Phone
- (860) 545-2780
- NPI assigned
- Apr 10, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000226 | CT | Primary |
Addresses
Primary practice location
80 Seymour Street
Hartford Hospital OB/GYN Dept
Hartford, CT 06102-5037
Mailing address
PO Box 40,000 Dept 634
Hartford Hospital Professional Services
Hartford, CT 06151-0634
Phone (860) 545-7602
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CT | |
| 004223418 | Medicaid | CT |
Other names 1
- Liza A. Mandel
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, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000226 | CT | MD | Marriage & Family Therapist |
Interoperability endpoints
- elizabeth.mandel@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255651200000",
"number": "1861455073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40,000 DEPT 634",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061510634",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR STREET",
"address_2": "HARTFORD HOSPITAL OB/GYN DEPT",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061025037",
"telephone_number": "860-545-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "ELIZABETH",
"middle_name": "A.",
"credential": "MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2009-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004223418",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIZA",
"last_name": "MANDEL",
"middle_name": "A.",
"credential": "MSN, CNM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.