Healthcare Provider Details

I. General information

NPI: 1578965711
Provider Name (Legal Business Name): KATHLEEN SHARROTT CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2014
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMBRIDGE ST
BOSTON MA
02114-2509
US

IV. Provider business mailing address

8515 TERLIZZI CT
ORLANDO FL
32836-8775
US

V. Phone/Fax

Practice location:
  • Phone: 888-731-8994
  • Fax:
Mailing address:
  • Phone: 631-300-0419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF001639
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11029401
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: