Jane N Wilson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

153 Issued in AZ

Practice address

4212 N 16TH St
OB/GYN Department
Phoenix, AZ 85016-5319

Phone

(602) 263-1200

Fax

(602) 263-1692

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jane November Wilson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1073549960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 N MILLER RD",
            "address_2": "UNIT 34",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573659",
            "telephone_number": "480-656-3390",
            "fax_number": "602-263-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "address_2": "OB/GYN DEPARTMENT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JANE",
        "middle_name": "N",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN079372",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440941",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "WILSON",
            "middle_name": "NOVEMBER",
            "credential": "CNM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jack Wilson, DMD
• Jacob Landis Wilson
• James Wilson
• James Vernon Wilson, M.A., L.I.S.A.C.
• Jamie C Wilson, RN
• Jazmine Marie Wilson, RDH
• Jeremy Wilson
• Jessica Wilson
• Julie L Wilson, MFT
• Justine Breanne Wilson, DPT

• Advanced Practice Midwife in Phoenix, AZ
• Providers in Phoenix, 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 Aug 4, 2011; 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.