Active NPI
Suzanne Dixon Grady, CNM, RN
- Advanced Practice Midwife
- Aurora, CO
National Provider Identifier
1275613077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 168897
- Practice address
- 3292 Peoria St
Aurora, CO 80010-1517 - Phone
- (303) 360-6276
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 168897 | CO | Primary |
Addresses
Primary practice location
3292 Peoria St
Aurora, CO 80010-1517
Mailing address
3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 360-6276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13683748 | Medicaid | CO |
Other names 1
- Suzanne Marie Dixon
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168897 | CO | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1275613077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S BROADWAY",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133611",
"telephone_number": "303-360-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3292 PEORIA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800101517",
"telephone_number": "303-360-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "SUZANNE",
"middle_name": "DIXON",
"credential": "CNM, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CO",
"license": "168897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13683748",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "DIXON",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.