Provider Demographics
NPI:1598771289
Name:PRICE, KATHERINE (NP CNM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:NP CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OHIO STREET
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103
Mailing Address - Country:US
Mailing Address - Phone:585-798-2865
Mailing Address - Fax:585-798-2867
Practice Address - Street 1:100 OHIO STREET
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103
Practice Address - Country:US
Practice Address - Phone:585-798-2865
Practice Address - Fax:585-798-2867
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF0009481176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00025349802OtherUNIVERA
NY0005605870004AOtherBC/BS WNY
NY000560587003MEOtherBC/BS OF WNY
NY9511765OtherINDEPENDENT HEALTH
NY167877CQOtherPREFERRED CARE
NY000560587005MOtherBC/BS WNY
NY02635050Medicaid
NY050317000019OtherFIDELIS
NY050317000019OtherFIDELIS