Individual provider Active NPI

Belinda E Smith, CNM

  • Advanced Practice Midwife
  • Mesa, AZ
National Provider Identifier
1073818712
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP3908 Issued in AZ
Practice address
2045 S Vineyard Ste 136
Mesa, AZ 85210-6891
Phone
(480) 565-5990
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 AP3908 AZ Primary

Addresses

Primary practice location

2045 S Vineyard Ste 136
Mesa, AZ 85210-6891

Mailing address

3815 S. Val Vista Drive
Gilbert, AZ 85297-7309
Phone (480) 782-0993

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
I20160520001009 AZ Order and Referring Only - Certified Nurse Midwife (CNM) 7517256175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3908AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Midwife Center for Birth and Wellness Az Past Accepting new patients
Willow Midwife Center for Birth and Wellness Az, LLC PastSince Sep 15, 2024 Accepting new patients

Organizations & group practices 2

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1073818712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S. VAL VISTA DRIVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977309",
            "telephone_number": "480-782-0993",
            "fax_number": "855-329-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 136",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106891",
            "telephone_number": "480-565-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BELINDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP3908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.