Active NPI
Donna M Barisich, CNM
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1174524102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NP4132
- Practice address
- 3660 W Bethany Home Rd
Phoenix, AZ 85019-1953 - Phone
- (602) 973-3200
- Fax
- (602) 973-3200
- NPI assigned
- Aug 1, 2005
- Last updated
- Jan 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NP4132 | AZ | Primary |
| Registered Nurse | 163W00000X | RN169733 | AZ |
Addresses
Primary practice location
3660 W Bethany Home Rd
Phoenix, AZ 85019-1953
Mailing address
3660 W Bethany Home Rd
Phoenix, AZ 85019-1953
Phone (602) 973-3200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169733 | AZ | MD | Registered Nurse |
| NP4132 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| HCGH OB GYN Associates Series | Past | Accepting new patients | |
| DRS.Esposito,Mayer, Hogan & Assic | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics Physician
- Columbia, MD
- NPI 1982646550
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Obstetrics & Gynecology Physician
- Columbia, MD
- NPI 1629091079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1174524102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-973-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 W BETHANY HOME RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850191953",
"telephone_number": "602-973-3200",
"fax_number": "602-973-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARISICH",
"first_name": "DONNA",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-01",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "NP4132",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN169733",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.