Active NPI
Sharon Debora Squibb, CNM
- Advanced Practice Midwife
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- B-119773
- Practice address
- 330 Laurel St Ste 2300
Des Moines, IA 50314 - Phone
- (515) 643-6869
- Fax
- (515) 643-6899
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 18, 2018
- 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 | CNM-78A | ID | |
| Advanced Practice Midwife | 367A00000X | B-119773 | IA | Primary |
Addresses
Primary practice location
330 Laurel St Ste 2300
Des Moines, IA 50314
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-6869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7633 | Other | IA | ACNM CERTIFICATION NUMBER |
Other names 1
- Sharon Debora McDonough
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lucas County Health Center
Practice addresses (Care Compare)
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-119773 | IA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Lucas County Health Center | Past | Accepting new patients | |
| Piedmont Healthcare for Women Greensboro OB GYN Division | Past | Accepting new patients |
Interoperability endpoints
- ssquibb556458@direct.unitypoint.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Chariton, IA
- NPI 1588636351
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Lucas County Health Center Medical Clinic
- Rural Health Clinic/Center
- Chariton, IA
- NPI 1538466842
-
- Gynecology Physician
- Greensboro, NC
- NPI 1700096013
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Chariton, IA
- NPI 1588636351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1467524306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-6869",
"fax_number": "515-643-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 LAUREL ST STE 2300",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50314",
"telephone_number": "515-643-6869",
"fax_number": "515-643-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUIBB",
"first_name": "SHARON",
"middle_name": "DEBORA",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ID",
"license": "CNM-78A",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IA",
"license": "B-119773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACNM CERTIFICATION NUMBER",
"identifier": "7633",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "MCDONOUGH",
"middle_name": "DEBORA",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.