Individual provider Active NPI

Shana Elizabeth Norberg, CNM LM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1437536315
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001431-1 Issued in NY
Practice address
411 Rugby Rd
Brooklyn, NY 11226-5611
Phone
(917) 676-9054
Fax
(718) 865-5111
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 576310-1 NY
Advanced Practice Midwife 367A00000X F001431-1 NY Primary
Midwife 176B00000X F001431-1 NY

Addresses

Primary practice location

411 Rugby Rd
Brooklyn, NY 11226-5611

Mailing address

411 Rugby Rd
Brooklyn, NY 11226-5611
Phone (917) 676-9054

Other names 1

  • Shana Elizabeth Norberg-McClain Other name

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

LicenseStateTypeSpecialty
576310-1NYMDRegistered Nurse
F001431-1NYMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1437536315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265611",
            "telephone_number": "917-676-9054",
            "fax_number": "718-865-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265611",
            "telephone_number": "917-676-9054",
            "fax_number": "718-865-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "SHANA",
        "middle_name": "ELIZABETH",
        "credential": "CNM LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "576310-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001431-1",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001431-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "NORBERG-MCCLAIN",
            "middle_name": "ELIZABETH",
            "credential": "CNM LM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.