Active NPI
Shannon Burdeshaw, CPM
- Midwife
- Wilmington, DE
National Provider Identifier
1154875268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CW0000002
- Practice address
- 1209 W 8TH St
Apt. 3
Wilmington, DE 19806-4667 - Phone
- (256) 975-3932
- NPI assigned
- Aug 5, 2016
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | CW0000002 | DE | Primary |
Addresses
Primary practice location
1209 W 8TH St
Apt. 3
Wilmington, DE 19806-4667
Mailing address
1209 W 8TH St
Apt. 3
Wilmington, DE 19806-4667
Phone (256) 975-3932
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW0000002 | DE | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1154875268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 W 8TH ST",
"address_2": "APT. 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064667",
"telephone_number": "256-975-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 W 8TH ST",
"address_2": "APT. 3",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064667",
"telephone_number": "256-975-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDESHAW",
"first_name": "SHANNON",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "DE",
"license": "CW0000002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.