Active NPI
Susan Marie Yount, PHD, CNM, RN
- Advanced Practice Midwife
- Phoenix, AZ
National Provider Identifier
1376567065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN110950
- Practice address
- 2601 E Roosevelt Street
Phoenix, AZ 85008 - Phone
- (602) 344-5651
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 628233 | TX | |
| Advanced Practice Midwife | 367A00000X | RN110950 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt Street
Phoenix, AZ 85008
Mailing address
PO Box 5177
Phoenix, AZ 85010-5177
Phone (602) 344-5651
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144504104 | Medicaid | TX | |
| 144504105 | Medicaid | TX | |
| 88N386 | Other | TX | BLUE CROSS BLUE SHIELD |
| 805864 | Medicaid | AZ |
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, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628233 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Past | Accepting new patients | |
| Titus County Hospital District | 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.
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
-
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1376567065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5177",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850105177",
"telephone_number": "602-344-5651",
"fax_number": "602-344-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85008",
"telephone_number": "602-344-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNT",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "PHD, CNM, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "628233",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN110950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144504104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144504105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88N386",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805864",
"state": "AZ"
}
],
"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 Aug 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.