Susan Karleen Fisk, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

18110007 Issued in NU

Practice address

855 Sand Dollar Dr
Kenai, AK 99611-8818

Phone

(907) 299-7140

NPI assigned

Jun 24, 2019

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Nurtured Birth and Wellness LLC

  • Midwife
  • Kenai, AK
  • NPI 1295366110
  NPD (past) Authorized official
• The Nesting Place, LLC

  • Birthing Clinic/Center
  • Soldotna, AK
  • NPI 1730729385

  Midwife

  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1083275671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 SAND DOLLAR DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118818",
            "telephone_number": "907-299-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAND DOLLAR DR",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996118818",
            "telephone_number": "907-299-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "SUSAN",
        "middle_name": "KARLEEN",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": "18110007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family and Forensic Counseling Services LLC
• Crystal L Fann
• Michael Farahjood
• Edward Dean Farnes
• Krystofer Ceryn Fenn
• Liliia Flanagan
• Fortitude, Inc
• Macie K Foster
• Jasmyn Foust
• Sonja Marie Foutty, RPH

• Midwife in Kenai, AK
• Providers in Kenai, AK by specialty
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.