KATHLEEN M MITCHEOM


Address: 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513
Phone: 2037777411

KATHLEEN M MITCHEOM (NPI# 1285738336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285738336
Entity Type Individual
Full Name KATHLEEN M MITCHEOM
Credential LNM CNM
Practice Address 374 Grand Avenue
Fair Haven Community Health Ctr
New Haven
CT 06513
Mailing Address 17 East Haycock Road
Branford
CT 06405
Practice Telephone 2037777411
Practice Fax Number 2037778506
Mailing Telephone 2034887035
Enumeration Date 2006-09-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife 000021 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM BCBS 400000021CT01 01
CONNECTICARE 0000219734 01
OXFORD PSS4934 01

Office Location

Street Address 374 GRAND AVENUE
FAIR HAVEN COMMUNITY HEALTH CTR
City NEW HAVEN
State CT
Zip Code 06513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033224670 Ivette Becerra Ortiz Nurse Practitioner 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-08-21
1497260798 Elsie Eusebid Eszterhai Dental Hygienist 374 Grand Avenue, New Haven, CT 06513 2017-12-08
1043303258 Ellen J Wormser Advanced Practice Midwife 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-10-02
1376647420 Ruth J Magraw Pediatrics 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-09-11
1093819146 Elizabeth Magenheimer Nurse Practitioner 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-09-11
1902900053 Clarice Begemann Nurse Practitioner 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 2006-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366906141 Edward Rivera Case Manager/Care Coordinator 458 Grand Ave., Suite 103, New Haven, CT 06513 2019-01-25
1134698442 Village of Angels Home Health Care LLC Respite Care 470 James Street, Suite 007, New Haven, CT 06513 2018-11-15
1609358068 Sarah Khalil Pharmacist 745 Foxon Road, East Haven, CT 06513 2018-09-02
1912358375 Domanice Poindexter Nurse Practitioner Caremore Health, 444 Foxon Rd, East Haven, CT 06513 2016-06-28
1568839876 My Fair Haven Pharmacy LLC Durable Medical Equipment & Medical Supplies 72 Grand Ave, New Haven, CT 06513 2015-08-24
1871979567 Sankofa Counseling LLC Community/Behavioral Health 64 Thompson St Ste A101, East Haven, CT 06513 2015-08-04
1578967287 Curtis Stewart Pharmacy Technician 661 Thompson Street, East Haven, CT 06513 2014-10-09
1548686322 Davis Group LLC Social Worker 30 Grand Ave, New Haven, CT 06513 2014-03-17
1124459615 James Lucas IIi Dietitian, Registered 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 2013-12-09
1609206135 Spretha Kadavath Dentist 50 Grand Ave, New Haven, CT 06513 2013-11-19
Find all providers in zip 06513

Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144771957 Kayla Marie Murphy Advanced Practice Midwife 200 Orchard St Ste 108, New Haven, CT 06511-5364 2016-10-17
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1154738334 Enabah Laracuente Advanced Practice Midwife 102 Gilbert Ave, New Haven, CT 06511-5304 2014-07-19
1821358284 Amanda Warren Abbott Advanced Practice Midwife 519 Whitney Avenue, Apt 1, New Haven, CT 06511 2012-05-20
1124148887 Yale School of Nursing Faculty Practice Group Advanced Practice Midwife 100 Church St S Ste 200, Yale School of Nursing, New Haven, CT 06519-1703 2007-03-29
1285764118 Jemine L. Wayman Advanced Practice Midwife 136 Sherman Ave Ste 502, New Haven, CT 06511 2007-03-07
1447330006 Laura Fitzgerald Advanced Practice Midwife 911 State St, New Haven, CT 06511-3926 2006-10-17
1568443554 Kirsten J Asmus Advanced Practice Midwife 345 Whitney Ave, New Haven, CT 06511-2348 2005-11-08
1558855049 Leah Marie Mawhinney Advanced Practice Midwife 50 Grand Ave, New Haven, CT 06513-3949 2018-06-18
1922531920 Chana Schaffer Advanced Practice Midwife 50 Grand Ave, New Haven, CT 06513-3949 2017-04-06
Find all providers in NEW HAVEN

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City NEW HAVEN
Zip Code 06513

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Dataset Information

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.

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