Active NPI
Sarah Jane Simmons, CNM
- Advanced Practice Midwife
- Chicago, IL
National Provider Identifier
1346463072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209002793
- Practice address
- 4140 N Maplewood Ave
Chicago, IL 60618-2821 - Phone
- (773) 588-6262
- Fax
- (773) 588-6262
- NPI assigned
- Apr 11, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041256161 | IL | |
| Advanced Practice Midwife | 367A00000X | 209002793 | IL | Primary |
Addresses
Primary practice location
4140 N Maplewood Ave
Chicago, IL 60618-2821
Mailing address
4140 N Maplewood Ave
Chicago, IL 60618-2821
Phone (773) 588-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364190130 | Other | IL | TAX IDENTIFICATION NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041256161 | IL | MD | Registered Nurse |
| 209002793 | IL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Midwifery Services | Advanced Practice Midwife | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Advanced Practice Midwife
- Chicago, IL
- NPI 1518132935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209168000000",
"number": "1346463072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 N MAPLEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606182821",
"telephone_number": "773-588-6262",
"fax_number": "773-588-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 N MAPLEWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606182821",
"telephone_number": "773-588-6262",
"fax_number": "773-588-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SARAH",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2008-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041256161",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209002793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "364190130",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.