Emma Loree Provost, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM301120 Issued in AZ

Practice address

1950 W Frye Rd
Chandler, AZ 85224-6255

Phone

(480) 895-9555

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Emma Loree White Former name

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emma.white.1@14294.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4

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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  Medicare reassignment Care Compare group NPD
• Arizona OB/GYN Affiliates PC

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
  • NPI 1962577650
  NPD (past)
• Robert S. Gerson MD PC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1982893053
  NPD (past)
• Ronald L. Price, M.D., P.C.

  • Anesthesiology Physician
  • Chandler, AZ
  • NPI 1417050964
  NPD (past)

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033987706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246255",
            "telephone_number": "480-895-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246255",
            "telephone_number": "480-895-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "EMMA",
        "middle_name": "LOREE",
        "name_prefix": "Miss",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "CNM301120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "WHITE",
            "middle_name": "LOREE",
            "prefix": "MISS",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Advanced Practice Midwife in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.