Individual provider Active NPI

Margaret Mary Kennedy, CNM

  • Advanced Practice Midwife
  • Fallbrook, CA
National Provider Identifier
1902952260
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM 1006 Issued in CA
Practice address
123 E Alvarado St
Fallbrook, CA 92028-2049
Phone
(760) 645-3447
Fax
(951) 200-4396
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 262592 CA
Women's Health Nurse Practitioner 363LW0102X 7130 CA
Advanced Practice Midwife 367A00000X 1006 CA
Advanced Practice Midwife 367A00000X NM 1006 CA Primary

Addresses

Primary practice location

123 E Alvarado St
Fallbrook, CA 92028-2049

Mailing address

27185 Rainbow Creek Dr
Temecula, CA 92591-4514
Phone (818) 216-2617

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
262592CAMDRegistered Nurse
7130CAMDWomen's Health Nurse Practitioner
1006CAMDAdvanced Practice Midwife
NM 1006CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Birth Services Inc PastSince May 26, 2024 Accepting new patients
Birthing Women'S Health Advanced Practice Midwife 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1902952260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27185 RAINBOW CREEK DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914514",
            "telephone_number": "818-216-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E ALVARADO ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282049",
            "telephone_number": "760-645-3447",
            "fax_number": "951-200-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "262592",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "7130",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1006",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NM 1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.