Active NPI
Susan Willson, CNM
- Midwife
- Stone Ridge, NY
National Provider Identifier
1437230950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F000549-1
- Practice address
- 33 Alan St
Stone Ridge, NY 12484-5117 - Phone
- (845) 687-4807
- Fax
- (845) 687-4807
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F000549-1 | NY | Primary |
Addresses
Primary practice location
33 Alan St
Stone Ridge, NY 12484-5117
Mailing address
33 Alan St
Stone Ridge, NY 12484-5117
Phone (845) 687-4807
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
| License | State | Type | Specialty |
|---|---|---|---|
| F000549-1 | NY | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid- Hudson Medical Group P C | Past | Accepting new patients | |
| Women'S Medical Care of Rhinebeck, 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.
-
- Family Medicine Physician
- Fishkill, NY
- NPI 1043358815
-
- Specialist
- Rhinebeck, NY
- NPI 1083782163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437230950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 ALAN ST",
"city": "STONE RIDGE",
"state": "NY",
"postal_code": "124845117",
"telephone_number": "845-687-4807",
"fax_number": "845-687-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 ALAN ST",
"city": "STONE RIDGE",
"state": "NY",
"postal_code": "124845117",
"telephone_number": "845-687-4807",
"fax_number": "845-687-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLSON",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F000549-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Ridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.