Active NPI
Barbara S Peckham-Devine, C.N.M.
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1265412159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 500 W Thomas Rd Ste 720&730
Phoenix, AZ 85013-4224 - Phone
- (602) 406-3715
- NPI assigned
- Jan 18, 2006
- 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 | 120003 | NE | |
| Advanced Practice Midwife | 367A00000X | PA | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 720&730
Phoenix, AZ 85013-4224
Mailing address
575 Coal Valley Rd Ste 209
Clairton, PA 15025-3724
Phone (412) 267-6600
Other practice location 1
2115 N Kansas Ave
Suite 204
Hastings, NE 68901-2644
Phone (402) 463-6793
Other practice location 2
575 Coal Valley Rd Ste 209
Clairton, PA 15025-3724
Phone (412) 267-6600
Other practice location 3
217 E Stolley Park Rd
Grand Island, NE 68801-8201
Phone (308) 384-7625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103470380 | Medicaid | PA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1265412159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 COAL VALLEY RD STE 209",
"city": "CLAIRTON",
"state": "PA",
"postal_code": "150253724",
"telephone_number": "412-267-6600",
"fax_number": "412-267-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 720&730",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-3715"
}
],
"practiceLocations": [
{
"address_1": "2115 N Kansas Ave",
"address_2": "Suite 204",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "NE",
"postal_code": "689012644",
"country_code": "US",
"telephone_number": "402-463-6793",
"fax_number": "402-463-6894",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Coal Valley Rd Ste 209",
"address_purpose": "LOCATION",
"city": "Clairton",
"state": "PA",
"postal_code": "150253724",
"country_code": "US",
"telephone_number": "412-267-6600",
"fax_number": "412-267-6281",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "217 E Stolley Park Rd",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688018201",
"country_code": "US",
"telephone_number": "308-384-7625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECKHAM-DEVINE",
"first_name": "BARBARA",
"middle_name": "S",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NE",
"license": "120003",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103470380",
"state": "PA"
}
],
"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 Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.