Individual provider Active NPI

Anna Noble Blackett, CNM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1932574183
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001724 Issued in NY
Practice address
123A 7TH Ave
Apt 2
Brooklyn, NY 11215-1567
Phone
(508) 284-3292
NPI assigned
Dec 13, 2015
Last updated
Dec 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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 F001724 NY Primary

Addresses

Primary practice location

123A 7TH Ave
Apt 2
Brooklyn, NY 11215-1567

Mailing address

123A 7TH Ave
Apt 2
Brooklyn, NY 11215-1567
Phone (508) 284-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190221000937 NY Practitioner - Certified Nurse Midwife (CNM) 8820336605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betances Health CenterGroup PAC ID 1658391578, 18 clinicians

Practice addresses (Care Compare)

280 Henry St
New York, NY 10002-5808
Phone (212) 227-8401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F001724NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center MMC Midwifery CurrentSince Jan 14, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Betances Health Center CurrentSince May 21, 2024 Accepting new patients
Betances Health Center CurrentSince May 21, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jan 14, 2019 Accepting new patients
Betances Health Center Past Accepting new patients

Locations

6208 4th Ave
Brooklyn, NY 11220
Phone (718) 283-3000

4422 9th Ave
Brooklyn, NY 11220
Phone (718) 283-8930

1616A Voorhies Ave
Brooklyn, NY 11235
Phone (718) 283-8225

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

967 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7979

1427 Broadway
Brooklyn, NY 11221
Phone (212) 227-8401

280 Henry St
New York, NY 10002
Phone (212) 227-8401

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCIFAA
  • Direct secure messaging: annablackett@mai.allscriptsdirect.net
  • Direct secure messaging: anna.blackett@bhcnyc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1449964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449964800000",
    "number": "1932574183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123A 7TH AVE",
            "address_2": "APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151567",
            "telephone_number": "508-284-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123A 7TH AVE",
            "address_2": "APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151567",
            "telephone_number": "508-284-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKETT",
        "first_name": "ANNA",
        "middle_name": "NOBLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.