Individual provider Active NPI

Diana Lynn Fitzgerald, NP, CNM

  • Midwife
  • Cheshire, CT
National Provider Identifier
1912916792
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
000518 Issued in CT
Practice address
675 S Main St
Cheshire, CT 06410-3153
Phone
(203) 272-1811
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 483641-1 NY
Nurse Practitioner 363L00000X 420822 NY
Advanced Practice Midwife 367A00000X 28-001237 NY
Advanced Practice Midwife 367A00000X F001237 NY
Midwife 176B00000X 000518 CT Primary

Addresses

Primary practice location

675 S Main St
Cheshire, CT 06410-3153

Mailing address

675 S Main St
Cheshire, CT 06410-3153
Phone (203) 272-1811

Other identifiers 1

IdentifierTypeStateIssuer
02806357MedicaidNY

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
I20220815002258 CT Practitioner - Certified Nurse Midwife (CNM) 9739334756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

675 S Main St
Cheshire, CT 06410-3196
Phone (203) 272-1811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
483641-1NYMDRegistered Nurse
518CTMDNaturopath
001237NYMDArt Therapist
000518CTMDSurgical Physician Assistant
420822NYMDNurse Practitioner
28-001237NYMDAdvanced Practice Midwife
F001237NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jun 16, 2022 Accepting new patients
Yale University CurrentSince Jun 16, 2022 Accepting new patients
Cathy J. Berry, M.D., P.C. CurrentSince Nov 5, 2012 Accepting new patients
Allara Medical Group PA PastSince Nov 5, 2012 Accepting new patients

Locations

675 S Main St
Cheshire, CT 06410
Phone (203) 250-2125

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

8280 Willett Pkwy
Baldwinsville, NY 13027
Phone (315) 445-9879

101 Pine St
Syracuse, NY 13210
Phone (315) 422-8105

Interoperability endpoints

  • Direct secure messaging: dfitzgerald573726@direct.ynhh.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1912916792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103153",
            "telephone_number": "203-272-1811",
            "fax_number": "315-363-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103153",
            "telephone_number": "203-272-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "483641-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "420822",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "28-001237",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001237",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "000518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02806357",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.