Individual provider Active NPI

Susan K Knowlden, CNMW

  • Advanced Practice Midwife
  • Warren, PA
National Provider Identifier
1528049707
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008605L Issued in PA
Practice address
2265 Market St
Suite B
Warren, PA 16365-4668
Phone
(814) 723-8101
Fax
(814) 723-2024
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW008605L PA Primary

Addresses

Primary practice location

2265 Market St
Suite B
Warren, PA 16365-4668

Mailing address

2265 Market St
Suite B
Warren, PA 16365-4668
Phone (814) 723-8101

Other identifiers 5

IdentifierTypeStateIssuer
00025508901OtherPAUNIVERA HEALTHCARE
0018330460005MedicaidPA
219412OtherPAUPMC
624178OtherPABLUE SHIELD
117964OtherPAUNISON/MEDPLUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sknowlden150985@direct.ahn.org

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

LicenseStateTypeSpecialty
MW008605LPAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Healthcare Associates, Inc PastSince Sep 1, 2017 Accepting new patients
Damian T Horner DO Family Practice PastSince Feb 10, 2014 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: susanknowlden@directaddress.net

Organizations & group practices 3

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1528049707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654668",
            "telephone_number": "814-723-8101",
            "fax_number": "814-723-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654668",
            "telephone_number": "814-723-8101",
            "fax_number": "814-723-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLDEN",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CNMW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008605L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00025508901",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018330460005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "219412",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "624178",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON/MEDPLUS",
            "identifier": "117964",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sknowlden150985@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2265 Market St",
            "address_2": "Suite B",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163654668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.