Individual provider Active NPI

Kathleen Crowley-Haywood, CNM

  • Advanced Practice Midwife
  • Missoula, MT
National Provider Identifier
1982358545
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
2404 39TH St
Missoula, MT 59803
Phone
(406) 541-7115
Fax
(406) 541-7116
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 Primary

Addresses

Primary practice location

2404 39TH St
Missoula, MT 59803

Mailing address

P.O. Box 699
Missoula, MT 59806
Phone (406) 431-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240710003759 MT Practitioner - Certified Nurse Midwife (CNM) 8729523188 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Health LLC CurrentSince Jul 1, 2024 Accepting new patients
Jeanne Hebl CNM, PLLC PastSince Feb 13, 2022 Accepting new patients

Locations

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathleen.crowley-haywood.1@21046.direct.athenahealth.com

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1982358545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 699",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59806",
            "telephone_number": "406-431-5320",
            "fax_number": "406-541-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 39TH ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59803",
            "telephone_number": "406-541-7115",
            "fax_number": "406-541-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY-HAYWOOD",
        "first_name": "KATHLEEN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.