Individual provider Active NPI

Amy Dawn Norsworthy Garrison, CNM, CPM

  • Advanced Practice Midwife
  • Peace Valley, MO
National Provider Identifier
1164822375
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1999135585 Issued in MO
Practice address
8302 County Road 1740
Peace Valley, MO 65788-9748
Phone
(417) 293-2691
NPI assigned
Aug 26, 2014
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 1999135585 MO Primary

Addresses

Primary practice location

8302 County Road 1740
Peace Valley, MO 65788-9748

Mailing address

8302 County Road 1740
Peace Valley, MO 65788-9748
Phone (417) 293-2691

Other names 1

  • Amy Dawn Garrison Other name

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1999135585MOMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1164822375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 COUNTY ROAD 1740",
            "city": "PEACE VALLEY",
            "state": "MO",
            "postal_code": "657889748",
            "telephone_number": "417-293-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 COUNTY ROAD 1740",
            "city": "PEACE VALLEY",
            "state": "MO",
            "postal_code": "657889748",
            "telephone_number": "417-293-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORSWORTHY GARRISON",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "credential": "CNM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "1999135585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GARRISON",
            "middle_name": "DAWN",
            "credential": "CNM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.