Individual provider Active NPI

Mary Jane Greenwood, CNM, WHNP-BC, IBCLC

  • Midwife
  • Shelton, CT
National Provider Identifier
1962814442
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
471 Issued in CT
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

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140715001043 NH Practitioner - Certified Nurse Midwife (CNM) 0446475065 Reassigns benefits to 2 organizations
I20200819002290 CT Practitioner - Certified Nurse Midwife (CNM) 0446475065 Reassigns benefits to 2 organizations

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
Physicians for Women's Health, LLCGroup PAC ID 3274430665, 319 clinicians

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

LicenseStateTypeSpecialty
168570CTMDLactation Consultant (Registered Nurse)
067583-21NHMDLactation Consultant (Registered Nurse)
471CTMDPhysician Assistant
067583-23NHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Physicians for Women's Health LLC Women's Health CurrentSince Aug 1, 2020 Accepting new patients
South-West Community Health Center, Inc CurrentSince Oct 6, 2020 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jan 1, 2019 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

  • Direct secure messaging: mgreenwood577603@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.