Active NPI
Susan Renee Corbett, CNM
- Advanced Practice Midwife
- Litchfield Park, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 292669
- Practice address
- 4515 N 199TH Dr
Litchfield Park, AZ 85340-1775 - Phone
- (561) 479-7844
- NPI assigned
- Oct 1, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 292669 | AZ | Primary |
Addresses
Primary practice location
4515 N 199TH Dr
Litchfield Park, AZ 85340-1775
Mailing address
4515 N 199TH Dr
Litchfield Park, AZ 85340-1775
Phone (561) 479-7844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Single Specialty | Current | Accepting new patients |
| Arizona OB GYN Affiliates PC | Single Specialty | Current | Accepting new patients |
| Banner Thunderbird Medical Center | Single Specialty | Past | Accepting new patients |
| Stormont-Vail Pharmacy, LLC | Past | Accepting new patients |
Locations
1950 W Frye Rd
Ste B
Chandler, AZ 85224
1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954
9305 W Thomas Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 936-1780
1204 W Main St
Fl 3
Charlottesville, VA 22903
Phone (434) 243-4670
1204 W Main St
Charlottesville, VA 22903
Phone (434) 924-0123
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
Interoperability endpoints
- susan.corbett.1@14294.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
Single Specialty
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
Single Specialty
-
- Community/Retail Pharmacy
- Topeka, KS
- NPI 1225124357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1487841722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 N 199TH DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853401775",
"telephone_number": "561-479-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 N 199TH DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853401775",
"telephone_number": "561-479-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "SUSAN",
"middle_name": "RENEE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-01",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "292669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.