Individual provider Active NPI

Nancy Anne McCluggage, CNM

  • Advanced Practice Midwife
  • San Diego, CA
National Provider Identifier
1013063759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW 782 Issued in CA
Practice address
34730 Bob Wilson Dr Ste 100
San Diego, CA 92134-3100
Phone
(619) 532-7295
Fax
(619) 532-6587
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW 782 CA Primary

Addresses

Primary practice location

34730 Bob Wilson Dr Ste 100
San Diego, CA 92134-3100

Mailing address

7127 Camino Degrazia Unit 125
San Diego, CA 92111-7831
Phone (858) 268-4681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
782CAMDPhysician Assistant
NMW 782CAMDAdvanced Practice Midwife

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013063759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 CAMINO DEGRAZIA UNIT 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117831",
            "telephone_number": "858-268-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34730 BOB WILSON DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921343100",
            "telephone_number": "619-532-7295",
            "fax_number": "619-532-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUGGAGE",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW 782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.