Active NPI
Susan Nast Farrell, C.N.M.
- Advanced Practice Midwife
- Womelsdorf, PA
National Provider Identifier
1528026259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW010099
- Practice address
- 770 Host Rd
Womelsdorf, PA 19567-9100 - Phone
- (717) 933-9743
- NPI assigned
- May 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | MW010099 | PA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | SP010234 | PA |
Addresses
Primary practice location
770 Host Rd
Womelsdorf, PA 19567-9100
Mailing address
770 Host Rd
Womelsdorf, PA 19567-9100
Phone (717) 933-9743
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP010234 | PA | MD | Women's Health Nurse Practitioner |
| MW010099 | PA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282521600000",
"number": "1528026259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 HOST RD",
"city": "WOMELSDORF",
"state": "PA",
"postal_code": "195679100",
"telephone_number": "717-933-9743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 HOST RD",
"city": "WOMELSDORF",
"state": "PA",
"postal_code": "195679100",
"telephone_number": "717-933-9743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "SUSAN",
"middle_name": "NAST",
"credential": "C.N.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2010-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010099",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP010234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Womelsdorf, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.