Active NPIOrganization

Modern Mama

Midwife in Medford, Massachusetts

NPI Number1013426204
Practice location
21 Aquavia RD, Medford, MA 02155-1002
Fax
617-765-7318
Last updated
July 21, 2022

Modern Mama is a healthcare organization based in Medford, MA. Modern Mama practices in Medford, MA. The NPI Number for Modern Mama is 1013426204. The current practice location address for Modern Mama is 21 Aquavia RD, Medford, MA 02155-1002 and can be reached out via phone at 860-919-5563 and via fax at 617-765-7318.

Provider Profile Details

NPI Number
1013426204
Provider Name
Modern Mama
Provider Entity Type
Organization
Address
21 Aquavia RD, Medford, MA 02155-1002
Phone Number
860-919-5563
Fax Number
617-765-7318
Primary Taxonomy
Midwife · 176B00000X
Organization Subpart
No
Authorized Official
Mrs. Kara Lynne Schamell, CPM · Co-Manager · 860-919-5563
Provider Enumeration Date
September 20, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Aquavia RD
Medford, MA 02155-1002
Zip
02155-1002
Phone Number
860-919-5563
Fax Number
617-765-7318
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
21 Aquavia RD
Medford, MA 02155-1002
City
Medford
State
MA
Zip
02155-1002
Phone Number
860-919-5563
Fax Number
617-765-7318

License Information

Taxonomy (1)
Doula · 374J00000X
Taxonomy (2)
Midwife · 176B00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Modern Mama?

The NPI number of Modern Mama is 1013426204. It was assigned on September 20, 2017 and is currently active in the NPPES registry.

What is the specialty of Modern Mama?

Modern Mama is registered under the primary taxonomy Midwife (code 176B00000X).

Where does Modern Mama practice?

The practice location is 21 Aquavia RD, Medford, MA 02155-1002. The office can be reached at 860-919-5563 (phone) or 617-765-7318 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013426204 directly on the NPPES registry website.

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