Healthcare Provider Details

I. General information

NPI: 1831686963
Provider Name (Legal Business Name): KATHRYN GUERNSEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6734 ROUTE 9
RHINEBECK NY
12572-3724
US

IV. Provider business mailing address

15 YANKEE FOLLY RD
NEW PALTZ NY
12561-3627
US

V. Phone/Fax

Practice location:
  • Phone: 845-231-5600
  • Fax:
Mailing address:
  • Phone: 772-321-6154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number001859
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number001859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: