Individual provider Active NPI

Sally Regina Inglesby-Schaefer, CNM

  • Advanced Practice Midwife
  • Clyde, NC
National Provider Identifier
1366445884
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM099 Issued in NC
Practice address
360 Hospital Dr
Suite 102
Clyde, NC 28721-0107
Phone
(828) 456-9006
Fax
(828) 456-8199
NPI assigned
May 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM099 NC Primary

Addresses

Primary practice location

360 Hospital Dr
Suite 102
Clyde, NC 28721-0107

Mailing address

PO Box 603250
Charlotte, NC 28260-3250
Phone (828) 884-9111

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

State licenses

LicenseStateTypeSpecialty
CNM099NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Haywood Women'S Medical Center, PA Past Accepting new patients
Western Carolina Physician Network, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1366445884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603250",
            "telephone_number": "828-884-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HOSPITAL DR",
            "address_2": "SUITE 102",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287210107",
            "telephone_number": "828-456-9006",
            "fax_number": "828-456-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGLESBY-SCHAEFER",
        "first_name": "SALLY",
        "middle_name": "REGINA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "CNM099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.