Individual provider Active NPI

Rachel Elise Flynn

  • Midwife
  • Phoenix, AZ
National Provider Identifier
1356884894
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM203 Issued in AZ
Practice address
115 W McDowell Rd
4B
Phoenix, AZ 85003-1210
Phone
(602) 748-7475
Fax
(602) 314-6749
NPI assigned
Dec 1, 2016
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM203 AZ Primary

Addresses

Primary practice location

115 W McDowell Rd
4B
Phoenix, AZ 85003-1210

Mailing address

115 W McDowell Rd
4B
Phoenix, AZ 85003-1210
Phone (602) 748-7475

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

State licenses

LicenseStateTypeSpecialty
LM203AZMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1356884894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W MCDOWELL RD",
            "address_2": "4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031210",
            "telephone_number": "602-748-7475",
            "fax_number": "602-314-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W MCDOWELL RD",
            "address_2": "4B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031210",
            "telephone_number": "602-748-7475",
            "fax_number": "602-314-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "RACHEL",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM203",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 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.

Verify at the official NPI Registry.