Individual provider Active NPI

Suzanne L Halt, CNM

  • Advanced Practice Midwife
  • Glendale, AZ
National Provider Identifier
1023061637
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10780 Issued in AZ
Practice address
5605 W Eugie Ave Ste 11
Glendale, AZ 85304-1272
Phone
(480) 756-6000
Fax
(866) 636-8770
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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 10780 AZ Primary

Addresses

Primary practice location

5605 W Eugie Ave Ste 11
Glendale, AZ 85304-1272

Mailing address

5605 W Eugie Ave Ste 111
Glendale, AZ 85304-1273
Phone (480) 756-0000

Other practice location 1

2242 W Southern Ave
Mesa, AZ 85202-4704
Phone (480) 756-6000

Other practice location 2

4864 E Baseline Rd Ste 101
Mesa, AZ 85206-4629
Phone (480) 756-6000

Other practice location 3

9305 W Thomas Rd Ste 150
Phoenix, AZ 85037-3360
Phone (480) 756-6000

Other practice location 4

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 756-6000

Other practice location 5

9440 E Ironwood Square Dr
Scottsdale, AZ 85258-4569
Phone (480) 756-6000

Other practice location 6

2620 N 3rd St Ste 103
Phoenix, AZ 85004-1153
Phone (480) 756-6000

Other identifiers 1

IdentifierTypeStateIssuer
776685MedicaidAZ

Other names 1

  • Suzanne Aymami Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzanne.halt.1@20219.direct.athenahealth.com Direct Valley Perinatal Services, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000081 AZ Practitioner - Certified Nurse Midwife (CNM) 7315950433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLC 61 clinicians

Practice addresses (Care Compare)

1910 W Frye Rd
Chandler, AZ 85224-6236
Phone (480) 467-2145

5605 W Eugie Ave
Suite 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10780AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Phoenix PC Advanced Practice Midwife CurrentSince Jun 1, 2006 Accepting new patients
Valley Perinatal Services, LLC Women'S Health CurrentSince Sep 28, 2017 Accepting new patients
Fetal and Women'S Center of Arizona, LLC Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 142
Casa Grande, AZ 85122
Phone (520) 836-9642

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811

5757 W Thunderbird Rd
Ste E
Glendale, AZ 85306

6320 W Union Hills Dr
Ste B1400
Glendale, AZ 85308
Phone (602) 528-0060

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

2242 W Southern Ave
Mesa, AZ 85202
Phone (480) 491-1600

1840 S Stapley Dr
Ste 131
Mesa, AZ 85204
Phone (480) 866-8787

4864 E Baseline Rd
Ste 101
Mesa, AZ 85206
Phone (480) 467-2145

4722 N 24th St
Ste 150
Phoenix, AZ 85016
Phone (602) 256-4628

8410 W Thomas Rd
Ste 138
Phoenix, AZ 85037
Phone (602) 266-2272

10240 W Indian School Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 907-2377

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

2620 N 3rd St
Ste 103
Phoenix, AZ 85004
Phone (480) 610-6152

1331 N 7th St
Ste 2
Phoenix, AZ 85006
Phone (602) 257-8118

9305 W Thomas Rd
Ste 150
Phoenix, AZ 85037
Phone (623) 889-0411

4041 N Central Ave
Bldg C
Phoenix, AZ 85012
Phone (602) 679-5262

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

919 12th Pl
Ste 14
Prescott, AZ 86305
Phone (928) 776-0020

10210 N 92nd St
Ste 105
Scottsdale, AZ 85258
Phone (480) 451-3222

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

5750 E Highway 90
Ste 300
Sierra Vista, AZ 85635
Phone (520) 263-3620

630 N Alvernon Way
Ste 480
Tucson, AZ 85711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: suzanne.halt.1@20219.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1023061637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 111",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041273",
            "telephone_number": "480-756-0000",
            "fax_number": "480-546-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE STE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041272",
            "telephone_number": "480-756-6000",
            "fax_number": "866-636-8770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2242 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024704",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4864 E Baseline Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064629",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9305 W Thomas Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373360",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 W Frye Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246236",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9440 E Ironwood Square Dr",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584569",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2620 N 3rd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041153",
            "country_code": "US",
            "telephone_number": "480-756-6000",
            "fax_number": "855-636-8770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALT",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "10780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "776685",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzanne.halt.1@20219.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Valley Perinatal Services, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5605 W Eugie Ave Ste 11",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853041272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "AYMAMI",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.