Active NPI
Mallorie Estelle Resendez Bassetti, CNM
- Advanced Practice Midwife
- Gilbert, AZ
National Provider Identifier
1124411087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319 - Phone
- (480) 818-9530
- Fax
- (833) 963-2174
- NPI assigned
- Mar 16, 2015
- 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 | AZ | Primary |
Addresses
Primary practice location
3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319
Mailing address
3324 E Ray Rd Unit 366
Higley, AZ 85236-4518
Phone (480) 818-9530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glow Midwifery PLLC | Advanced Practice Midwife | Current | Accepting new patients |
Locations
3530 S Val Vista Dr
Ste A111
Gilbert, AZ 85297
Phone (480) 219-7810
3324 E Ray Rd
Unit 366
Higley, AZ 85236
Interoperability endpoints
- mallorie.resendez.bassetti.1@22154.direct.athenahealth.com
- https://api.platform.athenahealth.com/22154/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Advanced Practice Midwife
- Gilbert, AZ
- NPI 1770193179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1124411087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 E RAY RD UNIT 366",
"city": "HIGLEY",
"state": "AZ",
"postal_code": "852364518",
"telephone_number": "480-818-9530",
"fax_number": "833-963-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 S VAL VISTA DR STE A111",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977319",
"telephone_number": "480-818-9530",
"fax_number": "833-963-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESENDEZ BASSETTI",
"first_name": "MALLORIE",
"middle_name": "ESTELLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.