Individual provider Active NPI

Karolyn Zambrotta, CNM

  • Advanced Practice Midwife
  • Newport, RI
National Provider Identifier
1992718134
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW00089 Issued in RI
Practice address
19 Friendship St
Suite 220
Newport, RI 02840-2272
Phone
(401) 848-5556
Fax
(401) 519-2994
NPI assigned
Aug 15, 2006
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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 MW00089 RI Primary

Addresses

Primary practice location

19 Friendship St
Suite 220
Newport, RI 02840-2272

Mailing address

19 Friendship St
Suite220
Newport, RI 02840-2272
Phone (401) 848-5556

Other identifiers 1

IdentifierTypeStateIssuer
0325040MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20141120000468 RI Practitioner - Certified Nurse Midwife (CNM) 4880669043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

77 Turnpike Ave
Portsmouth, RI 02871-1419
Phone (401) 863-7070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MW00089RIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Mar 29, 2015 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 29, 2015 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Women's Health Affiliates, Inc. Past Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Steward Medical Group, Inc PastSince Nov 6, 2010 Accepting new patients
Morton Physician Associates Inc Advanced Practice Midwife Past Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

19 Friendship St
Unit 220
Newport, RI 02840
Phone (401) 848-5556

19 Friendship St
Unit G40
Newport, RI 02840
Phone (401) 848-5556

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

77 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-2290

79 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-7434

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1992718134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST",
            "address_2": "SUITE220",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402272",
            "telephone_number": "401-848-5556",
            "fax_number": "401-519-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST",
            "address_2": "SUITE 220",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402272",
            "telephone_number": "401-848-5556",
            "fax_number": "401-519-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBROTTA",
        "first_name": "KAROLYN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "MW00089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325040",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.