Individual provider Active NPI

Elizabeth Glatfelter, CNM/WHNP

  • Advanced Practice Midwife
  • Providence, RI
National Provider Identifier
1891304176
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM00217 Issued in RI
Practice address
2 Dudley St Ste 580
Providence, RI 02905-3244
Phone
(401) 274-1122
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM00217 RI Primary

Addresses

Primary practice location

2 Dudley St Ste 580
Providence, RI 02905-3244

Mailing address

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.glatfelter@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210305001988 NY Practitioner - Certified Nurse Midwife (CNM) 7618383233 Reassigns benefits to 4 organizations
I20240618001821 RI Practitioner - Certified Nurse Midwife (CNM) 7618383233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002056NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Oct 29, 2021 Accepting new patients
Western New York Medical Practice P.C CurrentSince Oct 29, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2021 Accepting new patients
Affinity Physicians LLC. CurrentSince Jul 7, 2024 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Feb 22, 2021 Accepting new patients
Affinity Physicians LLC CurrentSince Jul 7, 2024 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Oct 29, 2021 Accepting new patients
Rochester General Hospital CurrentSince Oct 29, 2021 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427

1200 Brown St
Peekskill, NY 10566
Phone (845) 838-7020

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

2 Dudley St
Ste 580
Providence, RI 02905

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1891304176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-274-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 580",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053244",
            "telephone_number": "401-274-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATFELTER",
        "first_name": "ELIZABETH",
        "credential": "CNM/WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.glatfelter@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1250 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.