Individual provider Active NPI

Susan M Rooks, CNM, MPH

  • Advanced Practice Midwife
  • Hot Springs, SD
National Provider Identifier
1134232069
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
R025362 Issued in SD
Practice address
1100 Highway 71 S Ste 101
Hot Springs, SD 57747-8801
Phone
(605) 745-5188
Fax
(605) 745-3039
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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 R025362 SD Primary

Addresses

Primary practice location

1100 Highway 71 S Ste 101
Hot Springs, SD 57747-8801

Mailing address

1100 Highway 71 S Ste 101
Hot Springs, SD 57747-8801
Phone (605) 745-5188

Other identifiers 9

IdentifierTypeStateIssuer
4995586OtherSDBC/BS PROVIDER #
6540132MedicaidSD
4683OtherSDDAKOTACARE PROVIDER #
5307030MedicaidSD
9191420OtherSDDAKOTACARE GROUP #
DD0976OtherSDRR MEDICARE GROUP #
4997309OtherSDBC/BS GROUP #
P00304019OtherSDRR PROVIDER #
6540133MedicaidSD

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1134232069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 71 S STE 101",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577478801",
            "telephone_number": "605-745-5188",
            "fax_number": "605-745-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HIGHWAY 71 S STE 101",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577478801",
            "telephone_number": "605-745-5188",
            "fax_number": "605-745-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "CNM, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SD",
            "license": "R025362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "4995586",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6540132",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE PROVIDER #",
            "identifier": "4683",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5307030",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE GROUP #",
            "identifier": "9191420",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DD0976",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP #",
            "identifier": "4997309",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PROVIDER #",
            "identifier": "P00304019",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6540133",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.