Active NPI
Mary Jane Greenwood, CNM, WHNP-BC, IBCLC
- Midwife
- Shelton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 471
- Practice address
- 2 Trap Falls Rd Ste 510
Shelton, CT 06484-7622 - Phone
- (203) 944-0264
- Fax
- (203) 944-0838
- NPI assigned
- Jun 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 168570 | CT | |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 067583-21 | NH | |
| Women's Health Nurse Practitioner | 363LW0102X | 067583-23 | NH | |
| Advanced Practice Midwife | 367A00000X | 067583-23 | NH | |
| Midwife | 176B00000X | 471 | CT | Primary |
Addresses
Primary practice location
2 Trap Falls Rd Ste 510
Shelton, CT 06484-7622
Mailing address
22 Waterville Rd
Avon, CT 06001-2069
Phone (603) 354-6640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168570 | CT | MD | Lactation Consultant (Registered Nurse) |
| 067583-21 | NH | MD | Lactation Consultant (Registered Nurse) |
| 471 | CT | MD | Physician Assistant |
| 067583-23 | NH | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Medical Center | Current | Accepting new patients | |
| Cheshire Medical Center | Current | Accepting new patients | |
| Physicians for Women's Health LLC | Women's Health | Current | Accepting new patients |
| South-West Community Health Center, Inc | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients |
Locations
22 Waterville Rd
Avon, CT 06001
Phone (860) 678-3461
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131
103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789
2 Trap Falls Rd
Ste 510
Shelton, CT 06484
Phone (203) 395-4867
590 Court St
Keene, NH 03431
Phone (603) 354-5454
580 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
Interoperability endpoints
- mgreenwood577603@direct.ochin.org
- mary.jane.greenwood.1@10170.direct.athenahealth.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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Rocky Hill, CT
- NPI 1801826680
Women's Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
-
- Emergency Medicine Physician
- Keene, NH
- NPI 1093803397
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
dba Cheshire Medical Center Professional Services
- Family Medicine Physician
- Keene, NH
- NPI 1306349444
-
dba Cheshire Medical Center Pharmacy
- Community/Retail Pharmacy
- Keene, NH
- NPI 1033761739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1962814442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 WATERVILLE RD",
"city": "AVON",
"state": "CT",
"postal_code": "060012069",
"telephone_number": "603-354-6640",
"fax_number": "603-354-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TRAP FALLS RD STE 510",
"city": "SHELTON",
"state": "CT",
"postal_code": "064847622",
"telephone_number": "203-944-0264",
"fax_number": "203-944-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWOOD",
"first_name": "MARY JANE",
"name_prefix": "Ms.",
"credential": "CNM, WHNP-BC, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-02",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CT",
"license": "168570",
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NH",
"license": "067583-21",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NH",
"license": "067583-23",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "067583-23",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CT",
"license": "471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.