Individual provider Active NPI

Caitlin H Madison, CNM

  • Midwife
  • San Diego, CA
National Provider Identifier
1902153133
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NMW236145 Issued in CA
Practice address
220 Euclid Ave Ste 30
San Diego, CA 92114-3617
Phone
(888) 874-3752
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010283 MO
Advanced Practice Midwife 367A00000X MW010283 PA
Midwife 176B00000X NMW236145 CA Primary

Addresses

Primary practice location

220 Euclid Ave Ste 30
San Diego, CA 92114-3617

Mailing address

220 Euclid Ave Ste 30
San Diego, CA 92114-3617
Phone (888) 874-3752

Other practice location 1

769 W Terra Lane
O'Fallon, MO 63366
Phone (636) 294-6441

Other names 1

  • Caitlin Elizabeth Hanrahan Former name

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
NMW236145CAMDMidwife
MW010283MOMDAdvanced Practice Midwife
MW010283PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Pacific Southwest PastSince Jul 17, 2021 Accepting new patients
Planned Parenthood of the Pacific Southwest PastSince Jul 17, 2021 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": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1902153133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EUCLID AVE STE 30",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143617",
            "telephone_number": "888-874-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EUCLID AVE STE 30",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143617",
            "telephone_number": "888-874-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 W Terra Lane",
            "address_purpose": "LOCATION",
            "city": "O'Fallon",
            "state": "MO",
            "postal_code": "63366",
            "country_code": "US",
            "telephone_number": "636-294-6441",
            "fax_number": "877-533-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADISON",
        "first_name": "CAITLIN",
        "middle_name": "H",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "MW010283",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010283",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "NMW236145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "HANRAHAN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.