MS. KATHLEEN M NISHIDA CNM
NPI 1003913823
Midwife in Bridgeport, CT

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
509 PARK AVE, BRIDGEPORT, CT 06604(203) 330-6000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen M Nishida Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN M NISHIDA CNM (NPI 1003913823) is an individual midwife in Bridgeport, Connecticut, licensed in Pennsylvania (MW008566L) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003913823
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMS. KATHLEEN M NISHIDACredential: CNM
Location Address509 PARK AVEBridgeport, CT 06604-5859
Mailing Address46 Albion StBridgeport, CT 06605-2602 · (203) 330-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1003913823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
Licenses Licensed in PA · MW008566L Licensed in CT · 600
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN355082L (PA), E59418 (CT)
509 PARK AVE, Bridgeport, CT 06604

Other Names 1

Former Name (1)Ms. Kathleen M Raffloer Cnm

Other Identifiers 1

Medicaid001792598PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kathleen M Nishida Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284732967
PECOS Enrollment IDI20250827002008
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
509 PARK AVE
BRIDGEPORT, CT 06604
Midwife
509 PARK AVE
BRIDGEPORT, CT 06604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Nishida's NPI number?

The NPI number for Kathleen Nishida is 1003913823. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Ms. Kathleen M Raffloer Cnm.

Where is Kathleen Nishida located?

Kathleen Nishida practices at 509 Park Ave, Bridgeport, CT 06604. The listed phone number is (203) 330-6000.

What is Kathleen Nishida's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Kathleen Nishida enrolled in Medicare?

Yes. Kathleen Nishida is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Nishida was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.