Active NPI
Lynnette Casey, CNM
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1124135751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN110106
- Practice address
- 3660 W Bethany Home Rd
Suite a
Phoenix, AZ 85019-1953 - Phone
- (602) 973-3200
- Fax
- (602) 795-3714
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | RN110106 | AZ | Primary |
Addresses
Primary practice location
3660 W Bethany Home Rd
Suite a
Phoenix, AZ 85019-1953
Mailing address
3660 W Bethany Home Rd
Suite a
Phoenix, AZ 85019-1953
Phone (602) 973-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN110106 | Other | AZ | RN |
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 |
|---|---|---|---|
| RN110106 | AZ | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1124135751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-795-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"address_2": "SUITE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-795-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "LYNNETTE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN110106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "RN110106",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.