Active NPI
Susan L Selbe, CNM
- Advanced Practice Midwife
- Sanford, ME
National Provider Identifier
1043264179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AM082057
- Practice address
- 25A June St
Suite 110
Sanford, ME 04073-2642 - Phone
- (207) 324-2146
- Fax
- (207) 324-1288
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AM082057 | ME | Primary |
Addresses
Primary practice location
25A June St
Suite 110
Sanford, ME 04073-2642
Mailing address
25 June St
Suite 110
Sanford, ME 04073-2621
Phone (207) 324-2146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0706221 | Medicaid | MA | |
| 433411099 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AM082057 | ME | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Group Department of Goodall Hospital | Past | Accepting new patients | |
| Bernard a Westerling III, MD, LLC | Past | Accepting new patients | |
| Mousam Valley Orthopaedics PA | Past | Accepting new patients | |
| Coordinated Primary Care, Inc. | Past | Accepting new patients |
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.
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-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1356356869
-
- Family Medicine Physician
- Fitchburg, MA
- NPI 1366606246
-
dba HealthAlliance Pediatric Hospitalists Group
- Hospitalist Physician
- Leominster, MA
- NPI 1851623714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1043264179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 JUNE ST",
"address_2": "SUITE 110",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732621",
"telephone_number": "207-324-2146",
"fax_number": "207-324-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25A JUNE ST",
"address_2": "SUITE 110",
"city": "SANFORD",
"state": "ME",
"postal_code": "040732642",
"telephone_number": "207-324-2146",
"fax_number": "207-324-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELBE",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ME",
"license": "AM082057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0706221",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433411099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.