MS. REGINA M WILLETTE (NPI# 1053430488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053430488 |
| Entity Type | Individual |
| Full Name | MS. REGINA M WILLETTE |
| Credential | RPA C |
| Practice Address |
80 State Highway 310 Suite 1 Canton NY 13617-1493 |
| Practice Telephone | 3153862189 |
| Practice Fax Number | 3153862435 |
| Mailing Telephone | 3153862189 |
| Mailing Fax Number | 3153862435 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 001128 | NY | Other Service Providers |
| N | 363A00000X | Physician Assistant | 3588 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
80 STATE HIGHWAY 310 SUITE 1 |
| City | CANTON |
| State | NY |
| Zip Code | 13617-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730277138 | Sarah Kate Murphy | Counselor | 80 State Highway 310, Canton, NY 13617-1436 | 2006-10-11 |
| 1881236131 | Crystal Ralston | Counselor | 80 State Highway 310, Canton, NY 13617-1436 | 2019-10-08 |
| 1063063683 | Ronee K Cree | Peer Specialist | 80 State Highway 310, Canton, NY 13617-1436 | 2019-09-25 |
| 1730733221 | Alexandria Horner | Registered Nurse | 80 State Highway 310, Canton, NY 13617-1436 | 2019-08-01 |
| 1902369242 | Michele Lee Earle | Registered Nurse | 80 State Highway 310, Canton, NY 13617-1436 | 2019-04-12 |
| 1992278048 | Joann Pfeil | Case Manager/Care Coordinator | 80 State Highway 310, Canton, NY 13617-1436 | 2019-01-10 |
| 1659844827 | Karen S Sabourin | Registered Nurse | 80 State Highway 310, Suite 1, Canton, NY 13617 | 2019-01-09 |
| 1326516683 | Shannon Ashley | Registered Nurse | 80 State Highway 310, Canton, NY 13617-1436 | 2018-11-05 |
| 1801377940 | Kelli Gary | Counselor | 80 State Highway 310, Canton, NY 13617-1436 | 2018-08-27 |
| 1013447275 | Dawn M Colbert | Social Worker | 80 State Highway 310, Canton, NY 13617-1436 | 2017-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144668500 | Sandra Saladino Embry | Midwife | 542 E Highway 64 Lot 533, Canton, TX 75103-3311 | 2013-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769963 | Janis Gildin | Midwife | 177 Furnace Dock Rd, Cortlandt Manor, NY 10567-6533 | 2020-10-26 |
| 1386256204 | Allyson Sahrle | Midwife | 200 S Lackawanna St, Wayland, NY 14572-1440 | 2020-08-21 |
| 1487272407 | Rasha Kaplan | Midwife | 4 Fawn Ln, Suffern, NY 10901-2304 | 2020-07-07 |
| 1831712595 | Grace Ferguson-pell | Midwife | 1255 5th Ave Apt 5j, New York, NY 10029-3851 | 2020-05-28 |
| 1831724947 | Nancy Ngok | Midwife | 505 W 43rd St Apt 4l, New York, NY 10036-0092 | 2020-03-09 |
| 1841820750 | Stacy Lyn Arminio-swartz | Midwife | 425 Guy Park Ave Ste 100, Amsterdam, NY 12010-1056 | 2020-01-20 |
| 1073164562 | Danna Gilboy | Midwife | 600 Fitch St Ste 206, Elmira, NY 14905-1634 | 2019-09-25 |
| 1154971406 | Anna Larisa Lawyer Sunderland | Midwife | 1391 Pacific St Apt 2, Brooklyn, NY 11216-5510 | 2019-09-18 |
| 1891354767 | Marisa Poverman | Midwife | 180 E 111th St Apt 4, New York, NY 10029-2854 | 2019-06-13 |
| 1396208377 | Cecilia Duran | Midwife | 168 Prospect Pl Apt 5, Brooklyn, NY 11238-3838 | 2019-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.