Active NPI
Susan K Knowlden, CNMW
- Advanced Practice Midwife
- Warren, PA
National Provider Identifier
1528049707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- MW008605L
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00025508901 | Other | PA | UNIVERA HEALTHCARE |
| 0018330460005 | Medicaid | PA | |
| 219412 | Other | PA | UPMC |
| 624178 | Other | PA | BLUE SHIELD |
| 117964 | Other | PA | UNISON/MEDPLUS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MW008605L | PA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Healthcare Associates, Inc | Past | Accepting new patients | |
| Damian T Horner DO Family Practice | Past | Accepting new patients | |
| Warren Medical Group Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Warren, PA
- NPI 1154745255
-
- Specialist
- Warren, PA
- NPI 1316982341
-
- Internal Medicine Physician
- Warren, OH
- NPI 1982610788
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.