Individual provider Active NPI

Sharon Debora Squibb, CNM

  • Advanced Practice Midwife
  • Des Moines, IA
National Provider Identifier
1467524306
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B-119773 Issued in IA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7633OtherIAACNM CERTIFICATION NUMBER

Other names 1

  • Sharon Debora McDonough Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008001032 IA Practitioner - Certified Nurse Midwife (CNM) 9931156163 Reassigns benefits to 1 organization

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 CenterGroup PAC ID 8921916792, shared by 3 NPIs, 33 clinicians

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

LicenseStateTypeSpecialty
B-119773IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.