Individual provider Active NPI

Susan Renee Corbett, CNM

  • Advanced Practice Midwife
  • Litchfield Park, AZ
National Provider Identifier
1487841722
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
292669 Issued in AZ
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

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171206001410 VA Practitioner - Certified Nurse Midwife (CNM) 1951362912 Reassigns benefits to 1 organization
I20241220003201 AZ Practitioner - Certified Nurse Midwife (CNM) 1951362912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group Single Specialty CurrentSince Nov 13, 2017 Accepting new patients
Arizona OB GYN Affiliates PC Single Specialty CurrentSince Jan 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.