Susan T Barie, NP, CNM
Individual provider Active NPI Advanced Practice Midwife · San Pedro, CA
NPI 1215050133 · NPPES record last updated Oct 18, 2009
Key facts
- NPI
- 1215050133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- NMC1840 (CA)
- Practice address
- 920 W 5TH St
San Pedro, CA 90731-2315 - Phone
- (310) 833-6526
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP8070 | CA | MD | Women's Health Nurse Practitioner |
| NMC1840 | CA | MD | Advanced Practice Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP8070 | CA | |
| Advanced Practice Midwife | 367A00000X | NMC1840 | CA | Yes |
Addresses
Primary practice location
920 W 5TH St
San Pedro, CA 90731-2315
Mailing address
920 W 5TH St
San Pedro, CA 90731-2315
Phone (310) 833-6526
Other providers in San Pedro, CA
- Jeannette Marie Baker
- Raveena Bakhru
- Cindy Baldonado
- Allyson Elizabeth Barajas I
- Drunara Barber
- Emmanuel Barrios
- Sheila Lynne Barron-Jacobs
- Barry Rodgveller DPM Podiatry Corporation
- Julie Bartok
- Angela P Bartolome
All providers in San Pedro, CA · Advanced Practice Midwife in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.