Provider Demographics
NPI:1457863086
Name:CARR, KATE LINDSAY (CNM, MSN)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:LINDSAY
Last Name:CARR
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:LINDSAY
Other - Last Name:MELANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, MSN
Mailing Address - Street 1:56 BANTAM TER
Mailing Address - Street 2:
Mailing Address - City:BANTAM
Mailing Address - State:CT
Mailing Address - Zip Code:06750-1504
Mailing Address - Country:US
Mailing Address - Phone:860-361-6186
Mailing Address - Fax:
Practice Address - Street 1:85 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-1803
Practice Address - Country:US
Practice Address - Phone:860-224-3642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT074220163WM0102X
CT444367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn