Active NPI
Mary Charles Sutphin, CNM
- Advanced Practice Midwife
- Cary, NC
National Provider Identifier
1568780997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 035
- Practice address
- 400 Ashville Ave
Suite 200
Cary, NC 27518-6134 - Phone
- (919) 233-1311
- Fax
- (919) 233-1685
- NPI assigned
- May 10, 2010
- 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 | 035 | NC | Primary |
Addresses
Primary practice location
400 Ashville Ave
Suite 200
Cary, NC 27518-6134
Mailing address
400 Ashville Ave
Suite 200
Cary, NC 27518-6134
Phone (919) 233-1311
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 |
|---|---|---|---|
| 035 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1568780997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ASHVILLE AVE",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275186134",
"telephone_number": "919-233-1311",
"fax_number": "919-233-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ASHVILLE AVE",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275186134",
"telephone_number": "919-233-1311",
"fax_number": "919-233-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTPHIN",
"first_name": "MARY CHARLES",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.