Individual provider Active NPI

Nancy Eleanor Pol, MSN, RN, CNM

  • Advanced Practice Midwife
  • Queen Creek, AZ
National Provider Identifier
1336518935
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
238341 Issued in AZ
Practice address
35150 N Bell Road
Queen Creek, AZ 85144
Phone
(484) 390-0179
Fax
(888) 613-6789
NPI assigned
Sep 24, 2015
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 235705 CA
Advanced Practice Midwife 367A00000X 238341 AZ Primary

Addresses

Primary practice location

35150 N Bell Road
Queen Creek, AZ 85144

Mailing address

35150 N Bell Rd
San Tan Valley, AZ 85144-9248
Phone (484) 390-0179

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
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
238341AZMDAdvanced Practice Midwife
235705CAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1336518935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35150 N BELL RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851449248",
            "telephone_number": "484-390-0179",
            "fax_number": "888-613-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35150 N BELL ROAD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85144",
            "telephone_number": "484-390-0179",
            "fax_number": "888-613-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POL",
        "first_name": "NANCY",
        "middle_name": "ELEANOR",
        "credential": "MSN, RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235705",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "238341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.