Individual provider Active NPI

Susan Miller Rannestad, CM, LM

  • Advanced Practice Midwife
  • Pine Bush, NY
National Provider Identifier
1184845935
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001271 Issued in NY
Practice address
209 Boyce Rd
Pine Bush, NY 12566-6809
Phone
(845) 282-2229
Fax
(845) 744-5219
NPI assigned
May 1, 2007
Last updated
Apr 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 F001271 NY Primary

Addresses

Primary practice location

209 Boyce Rd
Pine Bush, NY 12566-6809

Mailing address

209 Boyce Rd
Pine Bush, NY 12566-6809
Phone (845) 744-5219

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

LicenseStateTypeSpecialty
F001271NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Birth Group Past Accepting new patients
National Birth Centers, Inc. Past Accepting new patients
Edge Medical Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1184845935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BOYCE RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666809",
            "telephone_number": "845-744-5219",
            "fax_number": "845-744-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BOYCE RD",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666809",
            "telephone_number": "845-282-2229",
            "fax_number": "845-744-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER RANNESTAD",
        "first_name": "SUSAN",
        "credential": "CM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.