Individual provider Active NPI

Mallorie Estelle Resendez Bassetti, CNM

  • Advanced Practice Midwife
  • Gilbert, AZ
National Provider Identifier
1124411087
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
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

Updated by the provider on Jun 16, 2021

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 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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glow Midwifery PLLC Advanced Practice Midwife CurrentSince Nov 22, 2020 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

  • Direct secure messaging: mallorie.resendez.bassetti.1@22154.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.